title: Asymptomatic Traumatic Hepatothorax, Symptomatic Gall Stone Disease - A Rare Coincidence.
abstract: Traumatic diaphragmatic hernia rarely affects right side due to protective effect of liver. In adult it is mainly caused by blunt abdominal trauma. Acute presentations are often life threatening and usually clinch the diagnosis early. It may remain asymptomatic for many years unless being detected incidentally during investigations for some unrelated reason or getting complicated by some pathology of herniated viscera. High degree of suspicion is required to detect this delayed presentation particularly in a post-trauma patient as this condition may require modifications in management. We report a case of acute cholecystitis which revealed a rare association of traumatic right diaphragmatic hernia and hepatothorax.
authors.affiliation: Residential Medical Officer, Surgical Gastroenterology, School of Digestive & Liver Diseases, Institute of Post Graduate Medical Education & Research , Kolkata, West Bengal, India .
authors.forename: Somak
authors.initials: S
authors.lastname: Das
authors.affiliation: DNB Registrar, Surgical Gastroenterology, Apollo Hospital , Chennai, Tamil Nadu, India .
authors.forename: Dinesh
authors.initials: D
authors.lastname: Zirpe
authors.affiliation: DNB Registrar, Surgical Gastroenterology, Apollo Hospital , Chennai, Tamil Nadu, India .
authors.forename: Chandrasekharn Valiathan
authors.initials: CV
authors.lastname: Gopakumar
authors.affiliation: Consultant, Surgical Gastroenterology, Apollo Hospital , Chennai, Tamil Nadu, India .
authors.forename: Sudeepta Kumar
authors.initials: SK
authors.lastname: Swain
authors.affiliation: Consultant, Surgical Gastroenterology, Apollo Hospital , Chennai, Tamil Nadu, India .
authors.forename: Rajagopal
authors.initials: R
authors.lastname: Surendran
keywords: Acute cholecystitis; Blunt trauma abdomen; Right diaphragmatic hernia