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Case Reports
. 2012 Jun 14;17(1):16.
doi: 10.1186/2047-783X-17-16.

Vascular diaphragmatic hernia in a patient with cirrhosis first case report

Mihai I Lazăr  1 , Daniela Adriana If Ion
Affiliations
Case Reports

Vascular diaphragmatic hernia in a patient with cirrhosis first case report

Mihai I Lazăr et al. Eur J Med Res. .

Abstract

We report the case of an adult patient recently diagnosed with cirrhosis. The ultrasound evaluation described a multinodular inhomogeneous liver, requiring a magnetic resonance imaging scan for further characterization. The performed magnetic resonance imaging examination confirmed the diagnosis of cirrhosis associated with portal hypertension and detected a vascular left transdiaphragmatic hernia. Although various types of diaphragmatic hernias have been described - congenital or acquired - to the best of our knowledge, this type of pathology has never been reported.

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Figures

Figure 1
Figure 1
T1-weighted magnetic resonance image of the vascular diaphragmatic hernia (non-contrast image), axial view. 1 - Left diaphragm muscle; 2 - descending part of the collateral aberrant vein; 3 - diaphragmatic defect corresponding to the base of the vascular loop; 4 - liver; 5 - spleen.
Figure 2
Figure 2
T1-weighted magnetic resonance image of the vascular diaphragmatic hernia (after contrast administration), axial view. 1 - Left diaphragm muscle; 2 - descending part of the collateral aberrant vein; 3 - diaphragmatic defect corresponding to the base of the vascular loop; 4 - liver; 5 - spleen.
Figure 3
Figure 3
T1-weighted magnetic resonance image of the vascular diaphragmatic hernia (after contrast administration), coronal view. 1 - Left diaphragm muscle; 2 - thoracic part of the herniated vein; 3 - recanalized umbilical vein; 4 – liver.
Figure 4
Figure 4
T1-weighted magnetic resonance image of the vascular diaphragmatic hernia (after contrast administration), coronal view. 1 - Left diaphragm muscle; 2 - abdominal part of the herniated vein; 3 - diaphragmatic defect corresponding to the base of the vascular loop; 4 - liver.
See this image and copyright information in PMC

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