Post-traumatic omental herniation into pleural space: radiologic features |
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| Institution: | 1. Kids Cancer Centre, Sydney Children''s Hospital, Randwick, NSW 2031, Australia;2. School of Women''s and Children''s Health, UNSW Sydney, Kensington, NSW, Australia;3. Department of Radiation Oncology, Brigham and Women''s Hospital/Dana-Farber Cancer Institute, Boston Children''s Hospital, Boston, Massachusetts, USA;4. Department of Neurology, Neurosurgery and Pediatrics, University of California San Francisco, San Francisco, CA, USA;5. Department of Pediatrics, University of Zurich, Switzerland;6. Department of Pediatric Oncology, Dana-Farber/Boston Children''s Cancer and Blood Disorders Center, 450 Brookline Avenue, Boston, MA 02215, USA |
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| Abstract: | A 43-year-old male with history of trauma was admitted to our clinic for the further evaluation of a blunted left costophrenic angle on chest roentgenograms. Computed tomographic (CT) scans demonstrated a crescent, fat-dense, extra-pleural mass on the left lateral hemi-thorax. Vertical funicular densities consistent with blood vessels were identified in this extra-pleural lesion on enhanced CT scans. T1-weighted axial and coronal magnetic resonance images (MRI) disclosed that the omentum ran continuously from the abdominal cavity into thoracic cavity a long left lateral hemi-thorax through a defect in the diaphragm. Surgical exploration revealed the laceration of left diaphragm and left parietal pleura. The omentum was herniated into the left pleural space through small diaphragmatic defect. We report X-ray, CT and MRI features of post-traumatic omental herniation into the pleural space that, to our knowledge it has not yet been reported so far. |
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