Massive ipsilateral pleural effusion caused by transdiaphragmatic intercostal hernia

Young Shun Wu, Yen Yue Lin, Chin Wang Hsu, Shi Jye Chu, Shih Hung Tsai

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Transdiaphragmatic intercostal hernia (TDIH) is a rare consequence from blunt chest-abdominal injury. The diagnosis of TDIH is often delayed. We report a patient who had a history of left-sided upper abdominal blunt injury 2 months before admission presented with a newly developed, massive pleural effusion and clinical manifestations of intestinal obstruction. A multidetector-row computed tomography confirmed the diagnosis of traumatic diaphragm rupture and TDIH. He underwent thoracotomy with reduction of herniated viscera and repair of the diaphragm and chest wall. He was discharged uneventfully and remained well on follow-up at 2 months.

Original languageEnglish
Pages (from-to)252.e3-252.e4
JournalAmerican Journal of Emergency Medicine
Issue number2
Publication statusPublished - Feb 2008
Externally publishedYes

ASJC Scopus subject areas

  • Emergency Medicine


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