Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature review

Diaphragmatic hernia is an unusual finding, especially in emergency settings and in the absence of trauma. Imaging plays a crucial role, with various CT signs of diaphragmatic rupture having been described, including the “dangling diaphragm,” “absent diaphragm,” “collar sign,” “hump sign,” “fascia s...

Full description

Saved in:
Bibliographic Details
Main Authors: Adam Sqalli Houssaini, MD, Hajar Zebbakh, MD, Amer Yahia, MD, Jamal El Fenni, PhD, Meriem Boui, MD
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324013761
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832595759769321472
author Adam Sqalli Houssaini, MD
Hajar Zebbakh, MD
Amer Yahia, MD
Jamal El Fenni, PhD
Meriem Boui, MD
author_facet Adam Sqalli Houssaini, MD
Hajar Zebbakh, MD
Amer Yahia, MD
Jamal El Fenni, PhD
Meriem Boui, MD
author_sort Adam Sqalli Houssaini, MD
collection DOAJ
description Diaphragmatic hernia is an unusual finding, especially in emergency settings and in the absence of trauma. Imaging plays a crucial role, with various CT signs of diaphragmatic rupture having been described, including the “dangling diaphragm,” “absent diaphragm,” “collar sign,” “hump sign,” “fascia sign,” and “dependent viscera sign”. We report an unusual case of a 53-year-old woman who presented with exertional dyspnea and asthenia. A CT scan was performed, revealing a large right diaphragmatic hernia involving an abnormally rotated liver and several other organs. The association between a malrotated liver and diaphragmatic hernia is extremely rare, with only a few cases previously reported in the literature. Surgery remains the definitive treatment, and the surgical approach depends on the size of the defect and the presence of significant complications.
format Article
id doaj-art-665e841114bc4058893352ca0ff83e96
institution Kabale University
issn 1930-0433
language English
publishDate 2025-03-01
publisher Elsevier
record_format Article
series Radiology Case Reports
spelling doaj-art-665e841114bc4058893352ca0ff83e962025-01-18T05:04:06ZengElsevierRadiology Case Reports1930-04332025-03-0120316101614Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature reviewAdam Sqalli Houssaini, MD0Hajar Zebbakh, MD1Amer Yahia, MD2Jamal El Fenni, PhD3Meriem Boui, MD4Corresponding author.; Department of Radiology, Mohammed Vth Military hospital, Ryad street, 10010 Rabat, MoroccoDepartment of Radiology, Mohammed Vth Military hospital, Ryad street, 10010 Rabat, MoroccoDepartment of Radiology, Mohammed Vth Military hospital, Ryad street, 10010 Rabat, MoroccoDepartment of Radiology, Mohammed Vth Military hospital, Ryad street, 10010 Rabat, MoroccoDepartment of Radiology, Mohammed Vth Military hospital, Ryad street, 10010 Rabat, MoroccoDiaphragmatic hernia is an unusual finding, especially in emergency settings and in the absence of trauma. Imaging plays a crucial role, with various CT signs of diaphragmatic rupture having been described, including the “dangling diaphragm,” “absent diaphragm,” “collar sign,” “hump sign,” “fascia sign,” and “dependent viscera sign”. We report an unusual case of a 53-year-old woman who presented with exertional dyspnea and asthenia. A CT scan was performed, revealing a large right diaphragmatic hernia involving an abnormally rotated liver and several other organs. The association between a malrotated liver and diaphragmatic hernia is extremely rare, with only a few cases previously reported in the literature. Surgery remains the definitive treatment, and the surgical approach depends on the size of the defect and the presence of significant complications.http://www.sciencedirect.com/science/article/pii/S1930043324013761Diaphragmatic herniaLiver malrotationLiver herniationCT scan
spellingShingle Adam Sqalli Houssaini, MD
Hajar Zebbakh, MD
Amer Yahia, MD
Jamal El Fenni, PhD
Meriem Boui, MD
Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature review
Radiology Case Reports
Diaphragmatic hernia
Liver malrotation
Liver herniation
CT scan
title Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature review
title_full Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature review
title_fullStr Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature review
title_full_unstemmed Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature review
title_short Nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration: An unusual case report with literature review
title_sort nontraumatic right diaphragmatic hernia with malrotated left liver lobe incarceration an unusual case report with literature review
topic Diaphragmatic hernia
Liver malrotation
Liver herniation
CT scan
url http://www.sciencedirect.com/science/article/pii/S1930043324013761
work_keys_str_mv AT adamsqallihoussainimd nontraumaticrightdiaphragmaticherniawithmalrotatedleftliverlobeincarcerationanunusualcasereportwithliteraturereview
AT hajarzebbakhmd nontraumaticrightdiaphragmaticherniawithmalrotatedleftliverlobeincarcerationanunusualcasereportwithliteraturereview
AT ameryahiamd nontraumaticrightdiaphragmaticherniawithmalrotatedleftliverlobeincarcerationanunusualcasereportwithliteraturereview
AT jamalelfenniphd nontraumaticrightdiaphragmaticherniawithmalrotatedleftliverlobeincarcerationanunusualcasereportwithliteraturereview
AT meriembouimd nontraumaticrightdiaphragmaticherniawithmalrotatedleftliverlobeincarcerationanunusualcasereportwithliteraturereview