A Rare Complication of Diaphragm Plication: Acute Liver Injury From Hepatic Compartment Syndrome-Reference-Cited by-同舟云学术

A Rare Complication of Diaphragm Plication: Acute Liver Injury From Hepatic Compartment Syndrome

Published:2023-08-30 Issue:9 Volume:10 Page:e01127
ISSN:2326-3253
Container-title:ACG Case Reports Journal
language:en
Short-container-title:ACG Case Rep J

Author:

Chang Michael¹,Menegas Samantha¹,Lee David Uihwan²,Hammami Muhammad Baraa²,Sakiani Sasan²

Affiliation:

1. University of Maryland School of Medicine, Baltimore, MD

2. Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD

Abstract

ABSTRACT Diaphragm plication is a surgical treatment of unilateral diaphragm paralysis, in which the affected diaphragm is sutured in place. Because the right diaphragm sits on top of the liver, right-sided diaphragm plication can injure the liver and lead to hepatic compartment syndrome resulting in acute liver injury. We report a case of a 59-year-old woman with a history of multilevel disk degeneration and alcohol use disorder who underwent right-sided diaphragm plication. After surgery, she complained of abdominal pain and was found to have severely elevated liver-associated enzymes and evidence of acute liver injury, which resolved with supportive care.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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