case_images: PMC4955483_01
case_images: Chest radiography showing right lung opacity with left Mediastinal shift (observation 1) (Up left)
case_images: AJPS-12-94-g001.jpg
case_images: PMC4955483_01_AJPS-12-94-g001.jpg
case_images: F1
case_images: Further, radiology of the chest showed a dense homogeneous opacity occupying the entire lung field with a displacement of the mediastinum [Figures 1 and 2].
case_images: Image after drainage (observation 1) (Up left)
case_images: AJPS-12-94-g002.jpg
case_images: PMC4955483_01_AJPS-12-94-g002.jpg
case_images: F2
case_images: Further, radiology of the chest showed a dense homogeneous opacity occupying the entire lung field with a displacement of the mediastinum [Figures 1 and 2].
case_images: Intrathoracic chest tube in the liver (observation 1) (Up left)
case_images: AJPS-12-94-g003.jpg
case_images: PMC4955483_01_AJPS-12-94-g003.jpg
case_images: F3
case_images: Surgical exploration revealed some haemoperitoneum, a transverse rupture of the right hemi diaphragm about 10 cm with irregular edges, liver in the chest with fracture of lower pole segment V and a laceration of about 0.5 cm on the upper surface caused by the chest tube drain [Figures 3 and 4].
case_images: Right diaphragmatic rupture after reduction of the liver (observation 1) (Up left)
case_images: AJPS-12-94-g004.jpg
case_images: PMC4955483_01_AJPS-12-94-g004.jpg
case_images: F4
case_images: Surgical exploration revealed some haemoperitoneum, a transverse rupture of the right hemi diaphragm about 10 cm with irregular edges, liver in the chest with fracture of lower pole segment V and a laceration of about 0.5 cm on the upper surface caused by the chest tube drain [Figures 3 and 4].
case_images: Control chest radiography on 24 months post-operative (observation 1) (Up left)
case_images: AJPS-12-94-g005.jpg
case_images: PMC4955483_01_AJPS-12-94-g005.jpg
case_images: F5
case_images: Two years on follow-up, the child remained symptom free with a normal chest radiograph [Figure 5].
case_images: PMC4955483_02
case_images: Chest radiograph (AP) showing right lung opacity (observation 2) (Up left)
case_images: AJPS-12-94-g006.jpg
case_images: PMC4955483_02_AJPS-12-94-g006.jpg
case_images: F6
case_images: An antero-posterior chest radiograph showed a fracture the anterior arcs the 6th, 7th, 8th, and 9th left ribs, right lung opacity with right apical pneumothorax [Figure 6].
case_images: Image after drainage (observation 2) (Up left)
case_images: AJPS-12-94-g007.jpg
case_images: PMC4955483_02_AJPS-12-94-g007.jpg
case_images: F7
case_images: The radiograph showed a lack of improvement in radiological images [Figure 7].
case_images: Chest computed tomography-scan objectivising an intrahepatic drain (arrow) with the liver in intrathoracic position (observation 2) (Fronf left)
case_images: AJPS-12-94-g008.jpg
case_images: PMC4955483_02_AJPS-12-94-g008.jpg
case_images: F8
case_images: Based on diagnostic uncertainty, thoraco-abdominal CT scan performed on day 2 of hospitalization showed a liver with intrathoracic drain within it [Figure 8].
case_images: diaphragmatic rupture after reduction of liver and visualization of chest tube (observation 2) (Up left)
case_images: AJPS-12-94-g009.jpg
case_images: PMC4955483_02_AJPS-12-94-g009.jpg
case_images: F9
case_images: At surgery, the liver had herniated into the thoracic cavity through a gap of about 10 cm in diameter in the right hemi diaphragm [Figure 9].
case_images: Control post-operative chest X-ray M 16 (observation 2) (Up left)
case_images: AJPS-12-94-g010.jpg
case_images: PMC4955483_02_AJPS-12-94-g010.jpg
case_images: F10
case_images: Sixteen months later, the child has symptom free with a normal radiograph [Figure 10].