Saito Y, Yamakawa Y, Niwa H, Kiriyama M, Fukai I, Kondo S, Fujii Y
Second Department of Surgery, Nagoya City University Medical School, Nagoya, Japan.
Surg Today. 2000;30(1):63-5. doi: 10.1007/PL00010049.
We describe herein a rare but fatal complication of diaphragmatic hernia that occurred in a 51-year-old man 3 years after his diaphragm had been repaired by a polytetrafluoroethylene sheet following resection during pleuropneumonectomy for a left pleural mesothelioma. He was admitted to our hospital in shock status, and was found to have massive bleeding from the nasogastric tube. An emergency operation revealed that an ulcer of the stomach, which had been displaced into the left thorax, had perforated directly into the descending aorta.
我们在此描述一例罕见但致命的膈疝并发症，该并发症发生在一名51岁男性身上，其在因左胸膜间皮瘤行胸膜肺切除术中切除后，用聚四氟乙烯片修补膈肌3年后出现。他因休克状态入住我院，经检查发现鼻胃管大量出血。急诊手术发现，移位至左胸腔的胃发生溃疡并直接穿孔至降主动脉。
