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Case Reports
. 2023 Aug 30;10(9):e01127.
doi: 10.14309/crj.0000000000001127. eCollection 2023 Sep.

A Rare Complication of Diaphragm Plication: Acute Liver Injury From Hepatic Compartment Syndrome

Michael Chang  1 , Samantha Menegas  1 , David Uihwan Lee  2 , Muhammad Baraa Hammami  2 , Sasan Sakiani  2
Affiliations
Case Reports

A Rare Complication of Diaphragm Plication: Acute Liver Injury From Hepatic Compartment Syndrome

Michael Chang et al. ACG Case Rep J. .

Abstract

Diaphragm plication is a surgical treatment of unilateral diaphragm paralysis, in which the affected diaphragm is sutured in place. Because the right diaphragm sits on top of the liver, right-sided diaphragm plication can injure the liver and lead to hepatic compartment syndrome resulting in acute liver injury. We report a case of a 59-year-old woman with a history of multilevel disk degeneration and alcohol use disorder who underwent right-sided diaphragm plication. After surgery, she complained of abdominal pain and was found to have severely elevated liver-associated enzymes and evidence of acute liver injury, which resolved with supportive care.

Keywords: acute liver injury; diaphragm plication; hepatic compartment syndrome; liver; surgery.

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Figures

Figure 1.
Figure 1.
Arrows outline an ill-defined, heterogeneous, predominantly hyperechoic lesion in the peripheral right liver.
See this image and copyright information in PMC

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