Al. Fernandezgonzalez et al., BLUNT TRAUMATIC RUPTURE OF THE RIGHT HEMIDIAPHRAGM AND BUDD-CHIARI SYNDROME, The Annals of thoracic surgery, 58(2), 1994, pp. 559-561
We present 2 cases of delayed diagnosis of rupture of the right hemidi
aphragm caused by blunt thoracic trauma, in which herniation of the li
ver toward the thoracic cavity had occurred. Both patients showed sign
s of noncardiogenic hepatic venous outflow obstruction. Venous outflow
returned to normal on reintroduction of the liver into the abdominal
cavity and closure of the defect in the diaphragm. The pathogenesis, d
iagnosis, and treatment of this problem are discussed.