Intrapleural omentum simulating pleural effusion.
We report herein a case of Morgagni hernia of omentum into the pleural space, simulating a pleural effusion on a routine chest radiograph. A 62-year-old man was referred to our clinic for close examination of a pleural effusion-like shadow at the right costophrenic region. He had no history of trauma and no symptoms. Chest computed tomographic scan showed a pleural effusion-like shadow with a fat density. Thoracoscopy revealed a movable omentum-like mass and no significant fluid in the right pleural space. Magnetic resonance imaging and celiac angiography confirmed the herniation of omentum into the right pleural space. This case suggests that a Morgagni hernia must be excluded in a patient with a fat density effusion-like shadow in the pleural space.
First Department of Internal Medicine, Tohoku University School of Medicine, Sendai, Japan.
Y
Y
Sekiguchi
S
S
Shimura
T
T
Takishima
D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged; D009852:Omentum; D010996:Pleural Effusion / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography