Transdiaphragmatic liver hernia in adults.

Right sided transdiaphragmatic liver herniation is a rare type of diaphragmatic hernia. Three such cases in adults are reported. A localized hepatic herniation (type 111) masquerading as pulmonary neoplasm was revealed in one, while in the other two cases liver herniation was accompanied by herniation of bowel (type XU). A history of trauma was present in all three patients with a latent period between injury and discovery of diaphragmatic hernia ranging from 10-20 years. The role of current imaging modalities in arriving at the correct diagnosis is emphasized.