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Spontaneous diaphragmatic rupture related to local invasion by retroperitoneal liposarcoma.
[dedifferentiated liposarcoma]
We
report
a
case
of
the
female
patient
who
was
admitted
to
the
hospital
because
of
syncope
experienced
while
climbing
stairs
.
Diagnostic
workup
raised
the
suspicion
of
a
right
diaphragmatic
rupture
that
was
eventually
confirmed
by
surgery
(
right
-sided
thoracotomy
)
.
Surgery
also
revealed
tissue
protruding
through
the
rupture
site
from
within
the
retroperitoneum
that
was
proven
subsequently
to
be
a
dedifferentiated
liposarcoma
.
Second
surgery
was
performed
to
completely
remove
the
liposarcoma
tissue
and
repair
a
coincident
old
right
lumbar
region
hernia
.
The
patient
recovered
fully
.
Spontaneous
rupture
of
the
diaphragm
is
rare
and
this
is
especially
true
for
the
right
hemidiaphragm
.
We
report
the
first
case
of
diaphragmatic
rupture
caused
by
local
infiltration
by
a
retroperitoneal
liposarcoma
.
This
and
similar
reports
emphasise
that
in
cases
with
high
clinical
suspicion
of
diaphragmatic
rupture
,
diagnosis
should
be
pursued
even
in
the
absence
of
a
preceding
traumatic
event
.
