Right Diaphragmatic Rupture with Total Passage of the Liver into the Thorax: A Case Report

Traumatic rupture of the right diaphragmatic dome with herniation of the liver into the thorax is a rare lesion. It is often part of a polytrauma, for which it is a criterion of severity. Whether early or late, it exposes the patient to cardiopulmonary complications due to compression. Right diaphragmatic rupture is difficult to diagnose. Its clinical signs are not very specific, and imaging can be misleading, as it visualizes the ascending organs but not the rupture itself. The thoracic approach is often preferred because of the difficulty of exposing the diaphragm in the presence of the liver. We report a case of right diaphragmatic rupture with total passage of the liver into the thorax following an MVA in a polytrauma patient.