CTICasesIncarcerated Iatrogenic Diaphragmatic Hernia after Hepatectomy
Imaging findings
Chest radiograph shows surgical clips in the right upper quadrant and a large, gas-filled loop of bowel in the right hemithorax. Chest CT confirms a right-sided diaphragmatic defect with herniated, incarcerated colon showing surrounding inflammatory fluid and narrowing at the hernia neck.
Key takeaways
Diaphragmatic hernia is a recognized iatrogenic complication of major upper abdominal surgery, including hepatectomy. While traumatic or congenital diaphragmatic hernias are more common on the left side, iatrogenic hernias following liver resection occur on the right and require prompt surgical repair due to the high risk of bowel incarceration and strangulation.
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