Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Hepatol. Apr 27, 2022; 14(4): 854-859
Published online Apr 27, 2022. doi: 10.4254/wjh.v14.i4.854
Angiotensin converting enzyme inhibitor associated spontaneous herniation of liver mimicking a pleural mass: A case report
Sameer Saleem Tebha, Zain Ali Zaidi, Sehrish Sethar, Muhammad Asif Abbas Virk, Muhammad Nadeem Yousaf
Sameer Saleem Tebha, Department of Neurosurgery and Neurology, Jinnah Medical and Dental College, Karachi 75600, Sindh, Pakistan
Zain Ali Zaidi, Department of Medicine, Jinnah Medical and Dental College, Karachi 75600, Sindh, Pakistan
Sehrish Sethar, Department of Radiology, Jinnah Medical and Dental College, Karachi 75600, Sindh, Pakistan
Muhammad Asif Abbas Virk, Department of Medicine, Division of Gastroenterology, Well Span York Hospital, York, PA 17403, United States
Muhammad Nadeem Yousaf, Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri, Columbia, MO 65212, United States
Author contributions: Sethar S identified the abnormality and diagnosed the patient; Tebha SS and Zaidi ZA reviewed the literature, found relevant information, and wrote the manuscript; Virk MAA and Yousaf MN proofread, revisions and edits of the manuscript, and overall supervision in finalizing of the manuscript.
Informed consent statement: Informed consent was acquired from the patient before writing and publishing this case report and all accompanying images.
Conflict-of-interest statement: All the authors declare that there is no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Muhammad Nadeem Yousaf, MD, Academic Fellow, Doctor, Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri, One Hospital Drive, Columbia, MO 65212, United States. muhammad.n.yousaf@health.missouri.edu
Received: November 20, 2021
Peer-review started: November 20, 2021
First decision: January 12, 2022
Revised: February 3, 2022
Accepted: March 26, 2022
Article in press: March 26, 2022
Published online: April 27, 2022
Core Tip

Core Tip: Diaphragmatic herniation of the liver secondary to angiotensin converting enzyme inhibitors induced cough is uncommon. Cough is a rare cause of diaphragmatic liver herniation and it may be overlooked. This case illustrates the importance of combining clinical presentation with cross-sectional radiological imaging for early diagnosis and surgical repair of diaphragmatic liver herniation and for better patient outcomes.