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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
.
Diseases
Validation
Diseases presenting
"first case"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
gm1 gangliosidosis
harlequin ichthyosis
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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