Post-pleuropneumonectomy herniation of liver mimicking major pulmonary embolism.
Following right-sided pneumonectomy and hemidiaphragm resection in a 58-year-old man with epithelioid mesothelioma, acute respiratory insufficiency and life-threatening circulatory collapse developed after a forced Valsalva maneuver. Major pulmonary embolism was diagnosed on clinical grounds, however computed tomography revealed herniation of the liver into the right hemithorax.
Huwer
Hanno
H
Department of Cardiothoracic Surgery, Völklingen Heart Centre, D-66333 Völklingen/Saar, Germany. huwer.vk@shg-kliniken.de
Winning
Johannes
J
Isringhaus
Helmut
H
Kalweit
Gerhard
G
D003937:Diagnosis, Differential; D003964:Diaphragm / Q000601:surgery*; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D008099:Liver; D008297:Male; D008654:Mesothelioma / Q000601:surgery*; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D011655:Pulmonary Embolism / Q000175:diagnosis; D011859:Radiography; D013526:Surgical Mesh