Journal of Current Surgery, ISSN 1927-1298 print, 1927-1301 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Curr Surg and Elmer Press Inc
Journal website http://www.currentsurgery.org

Case Report

Volume 6, Number 1, March 2016, pages 33-36

Diagnostic Laparoscopy for Right Hemidiaphragm Rupture With Laparotomy Repair: A Case Report

Figures

Figure 1.
Figure 1. Pre-operative portable AP supine chest X-ray demonstrating elevated right hemidiaphragm.
Figure 2.
Figure 2. Coronal view of CT of chest, abdomen, and pelvis, demonstrating diaphragm asymmetry, fractured pelvic rami on right, and no hemothorax, pneumothorax, hemoperitoneum, or pneumoperitoneum.
Figure 3.
Figure 3. Laparoscopic camera image from port located just inferior to xyphoid process in midline, directed towards right upper quadrant. Liver: lower left of image. Diaphragm; upper right of image.
Figure 4.
Figure 4. Laparoscopic camera image from port located just inferior to xyphoid process in midline, directed towards right upper quadrant. Liver: lower left of image. Diaphragm: upper right of image. Grasper inserted upper left. Opening demonstrates defect in diaphragm, and collapsed right lung is visible through this opening.
Figure 5.
Figure 5. Post-operative portable AP supine chest X-ray demonstrating symmetry of diaphragm, chest tube in place in right thorax.