Q. How can someone overcome the pain caused by a diaphragmatic perforation?

Hi doctor,

I fell off the surgery table eight years ago during gynecologic laparoscopy. I was sent home with multiple symptoms without further diagnosis. I had a stroke two years ago, and I also suffer from lung infections. There is a pain when I breathe. However, I underwent blood tests and other diagnostic tests, but nothing was found. Last month I underwent an ultrasound of the upper left abdomen, which revealed a hematoma-like structure below the left diaphragm. Afterward, a CT scan was done and reviewed by my doctor. He found a perforated left diaphragm. In addition, my recent laboratory reports revealed thrombocytes up to 5.50 lakhs, leukocytes up to 16,000 mcL, and a low CRP level. Also, my lipase levels were three times more elevated than the normal range, and LDH was elevated twice its normal range. I am currently taking tablet Oxycodon 50 mg per day. Also, I have pain in the thoracic region, gastric issues, and an accumulation of liquid surrounding the liver (which comes and goes). However, I felt better after the infusion of IV antibiotics and fasting. So, what could be the diagnosis, and what can be done?

Please help.

Hi doctor,

Thank you for your reply.

Did I understand correctly that a perforation of the left diaphragm seems possible? This is the most important question. The swollen kidney has already been diagnosed, and there was even an abscess in the uterus. Both have been surgically removed, but my symptoms have exacerbated ever since. So I asked if there was something overseen in the suspected area of the diaphragm. Kindly tell me about the diaphragm rupture.

Please help.