Ajmi Sami, Hassine Habib, Arifa Nadia, Karmani Monia, Guezguez Mohsen, Elajmi Salem, Essabbah Habib
Department of Nuclear Medicine, Sahloul's Hospital, Sousse 4054, Tunisia.
Magn Reson Imaging. 2004 Apr;22(3):431-3. doi: 10.1016/j.mri.2004.01.001.
A 52-year-old man with history of post-hepatitic cirrhosis presented with ascitis and respiratory distress. Chest X-ray on admission showed a large right hydrothorax. Thoracentesis yielded a large volume of a clear transudate fluid. Peritoneal scintigraphy showed rapid migration of radiotracer into the right pleural cavity, confirming the abdominal origin of the pleural fluid and suspecting a large diaphragmatic defect. MR imaging study using ultrafast sequences confirmed the large diaphragmatic defect.
一名有肝炎后肝硬化病史的52岁男性因腹水和呼吸窘迫就诊。入院时胸部X线显示右侧大量胸腔积液。胸腔穿刺抽出大量清亮漏出液。腹膜闪烁扫描显示放射性示踪剂迅速移入右侧胸腔，证实胸腔积液来源于腹腔并怀疑存在巨大膈肌缺损。使用超快序列的磁共振成像研究证实了巨大膈肌缺损。
