Asymptomatic liver segment herniation through a postoperative defect in the right hemidiaphragm following aortic bypass graft surgery.
We present a 16-year-old girl with asymptomatic liver segment herniation following aortic graft surgery for atypical coarctation of the aorta. The defect in the right hemidiaphragm was caused by the implantation of an ascending thoracic aorta to upper abdominal aortic bypass graft. The differential diagnosis of diaphragmatic defects as well as the role of various imaging modalities in establishing the diagnosis are discussed.
Benoit
Cyrille H
CH
Institute of Diagnostic Radiology, Department of Radiology, Zurich University Hospital, Zurich, Switzerland.
Vogt
Paul R
PR
Hauser
Markus
M
D000293:Adolescent; D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008099:Liver; D008279:Magnetic Resonance Imaging; D013902:Radiography, Thoracic; D012086:Reoperation; D018570:Risk Assessment; D012720:Severity of Illness Index; D013348:Subclavian Artery / Q000637:transplantation; D013908:Thoracotomy / Q000379:methods; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods