A CASE OF RIGHT CONGENITAL DIAPHRAGMATIC HERNIA WITH MULTIPLE DIAPHRAGMATIC DEFECTS

We describe a case of congenital diaphragmatic hernia, in which multiple defects were found in the right diaphragm and through 3 defects of them the liver protruded. The case was a 42-year-old male who was referred to our department for minute examination for an abnormal shadow on a chest X-ray film and was admitted. Chest X-ray film revealed polyp-like tumor shadow protruding upward. CT, MRI, and scintigraphy of the liver failed to offer any definite diagnosis. Exploratory thoracotomy was carried out. Operative findings included 3 protrusions of the liver covered with parietal pleura in the central tendon of the diaphragm, and a large number of several mm-sized defects around the main defects. Only a case of congenital diaphragmatic hernia, in which multiple diaphragmatic defects associated with several liver protrusions has been reported up to now as possible as we can review.