Zimmermann T
Klinik für Allgemein- und Thoraxchirurgie der Justus Liebig-Universität Giessen.
Zentralbl Gynakol. 1999;121(2):92-4.
We present a case of a delayed diagnosed traumatic diaphracmatic rupture and herniation in a 49-year-old woman. The rupture was secondary to trauma sustained 26 years ago during delivery, when the obstetrician pressed his hands against the upper abdominal wall of the patient. She perceived a sudden violent pain in her left belly. In the following years the pain never disappeared. But only after the period of more than two decades, diagnosis was made when abdominal organs prolapsed into the thoracic space. After the operation, the patient was free of pain. We believe this to be the first reported case of traumatic diaphragmatic rupture due to delivery.
我们报告一例49岁女性延迟诊断的创伤性膈肌破裂并疝出的病例。该破裂继发于26年前分娩时所受的创伤，当时产科医生将手按压在患者的上腹壁。她感到左腹突然剧痛。在接下来的几年里，疼痛从未消失。但直到二十多年后，当腹腔脏器脱垂至胸腔时才得以诊断。手术后，患者疼痛消失。我们认为这是首例因分娩导致创伤性膈肌破裂的报道病例。
