대한흉부영상의학회 Korean Society of Thoracic Radiology

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Weekly Chest CasesArchive of Old Cases

Case No : 1414 Date 2024-11-26

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  • Courtesy of Kwang Nam Jin / Sangheum, Bang / Moon Young Kim / SMG-SNU Boramae Medical Center
  • Age/Sex 67 / M
  • Chief ComplaintChief complaint> abrupt onset of chest pain and dyspnea ............. Underlying disease> None
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6
  • Figure 7

Diagnosis With Brief Discussion

Diagnosis
Pneumothorax in patient with diaphragmatic herniation
Radiologic Findings
Initial chest radiograph showed right pneumothorax and collapsed right lung (Fig. 1A). The Right pneumothorax resolved after placing the right chest tube (Fig. 1B). Incidentally, CT demonstrated the gas-distended colon loop around the proximal portion of the right chest tube (Fig. 2A, B). CT coronal image demonstrates focal discontinuation of the right diaphragm and herniation of the colon, omental fat, and liver. It revealed that the air densities around the herniated abdominal contents are in the thoracic cavity, not in the abdominal cavity (Fig. 3, 4).
Brief Review
References
[1] Blitz M, Louie BE. Chronic traumatic diaphragmatic hernia. Thorac Surg Clin. 2009;19:491-500.
[2] Gu P, Lu Y, Li X, Lin X. Acute and chronic traumatic diaphragmatic hernia: 10 years experience. PLOS ONE. 2019;14:.
[3] Soro J, Blanco M, Garc
Keywords

No. of Applicants : 58

▶ Correct Answer : 6/58,  10.3%
  • - Saitama-Sekishinkai Hosptal , Japan MIHOKO YAMAZAKI
  • - Vita Hospital , Brazil DIOGO LAGO PINHEIRO
  • - University of Yamanashi , Japan HIROYUKI MORISAKA
  • - The University of Tokyo Hospital , Japan TOSHIHIRO FURUTA
  • - Dokkyo Medical University , Japan HIROAKI ARAKAWA
  • - Matsunami General Hospital , Japan TARO TAKEDA
▶ Correct Answer as Differential Diagnosis : 3/58,  5.2%
  • - , Japan SUZUNE TSUKAMOTO
  • - , Japan YOSHIKI ISHII
  • - , Japan SHUHEI NORIMOTO
▶ Semi-Correct Answer : 28/58,  48.3%
  • - ZIGONG TCM HOSPITAL OF CHINA , China CAO CUN YOU
  • - Shiga University of Medical Science , Japan AKITOSHI INOUE
  • - Oita university , Japan AYUMI KAMEI
  • - Kyoto City Hospital , Japan YUSUKE UTSUNOMIYA
  • - IRSA LA ROCHELLE , France JEAN LUC BIGOT
  • - , Korea (South) DONG-HO BANG
  • - Healthy Longevity Medical Center , Japan SHIN-ICHI CHO
  • - Other , Korea (South) SEONGSU KANG
  • - , Korea (South) JIN YOUNG LEE
  • - Other , Korea (South) DOWOO KIM
  • - Oita University, Faculty of Medicine , Japan FUMITO OKADA
  • - University of Yamanashi , Japan TAKAAKI HASHIMOTO
  • - University of Yamanashi , Japan HIROAKI WATANABE
  • - Nankai medical center , Japan NORITAKA KAMEI
  • - Other , Korea (South) CHAEHUN LIM
  • - Osaka Metropolitan University Hospital , Japan SHU MATSUSHITA
  • - Jichi Medical University, School of Medicine , Japan MITSURU MATSUKI
  • - University of Tsukuba, Dept of Radiology , Japan MANABU MINAMI
  • - Shiga General Hospital , Japan YUSAKU MORIBATA
  • - Osaka metropolitan university Hospital , Japan TATSUSHI OURA
  • - Mie university , Japan SHIKO OKABE
  • - The First Affiliated Hospital of Nanjing Medical University , China TENG ZHANG
  • - Kyoto University , Japan SHO KOYASU
  • - , India GOMATHIPONSHANKAR ILAYAPPAN
  • - Yonsei University,Severance Hospital , Korea (South) SEO BUM CHO
  • - Fukuoka university , Japan KEISUKE SATO
  • - The Catholic University of Korea Yoeuido St. Mary , Korea (South) CHAWOONG JEON
  • - the first affiliatited hospital of nanjing medical univercity , China HAI XU
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Current Editor : Eui Jin Hwang, M.D., Ph.D Email : weeklychestcases@gmail.com

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