Traumatic hepatothorax
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A 37-year-old man presented to the Emergency Department complaining of worsening right “rib pain” for 4 months. The patient had sustained right-sided rib fractures 2 years prior to a high-velocity motor vehicle collision. The physical examination was significant only for mild tenderness over the right lateral thorax without any obvious swelling or deformity. The patient's vital signs in the Emergency Department included a temperature of 97.2, heart rate of 68, blood pressure of 129/76, respiratory rate of 20 and oxygen saturation of 99% on room air. Computed tomography (CT) scan confirmed the mass to be a liver segment herniated through the right diaphragm. The patient was evaluated by the trauma surgery service, which referred the patient to their outpatient clinic for operative planning...

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