Diagnosis of Right Hemidiaphragmatic Rupture by Liver Scintigraphy

Abstract

We report two cases of traumatic rupture of the right hemidiaphragm with liver herniation following blunt abdominal trauma. In both, the diagnosis was not immediately suspected, and liver scintigraphy was later diagnostic. Focal elevation of the central portion of the right lobe of the liver was present in both cases. In one case the herniated liver was surrounded by a band-like photon-deficient collar. Liver scintigraphy can be quickly performed by portable technique and may allow for early diagnosis.