Içöz G, Kara E, Ilkgül O, Yetgin S, Tunçyürek P, Korkut M A
Ege Universities of Medical Faculties, Departments of General Surgery, Izmir, Manisa, Turkey.
Acta Chir Belg. 2003 Aug;103(4):423-4. doi: 10.1080/00015458.2003.11679459.
Diagnosis of diaphragmatic injury is difficult. A case of iatrogenic diaphragmatic rupture is reported in which perforation of a herniated stomach occurred following left lobectomy and partial resection of the diaphragm for lung cancer. On the second postoperative day, bile-stained fluid coming out from the chest tube revealed gastrointestinal leakage. This rare complication of chest tube insertion, early diagnosis and treatment are emphasized.
膈肌损伤的诊断较为困难。本文报告了一例医源性膈肌破裂病例，该患者因肺癌行左肺叶切除及部分膈肌切除术后，出现了疝入的胃穿孔。术后第二天，从胸腔引流管引出的胆汁样液体提示存在胃肠道渗漏。强调了这种胸腔引流管置入的罕见并发症需要早期诊断和治疗。
