Ransom P, Cornelius P
Emergency Department, Hastings Conquest Hospital, East Sussex, UK.
Emerg Med J. 2005 Jun;22(6):460-1. doi: 10.1136/emj.2003.012468.
A case of traumatic diaphragmatic herniation is described in which gross mediastinal shift was caused by a combination of the herniated abdominal organs, purulent exudate, and air. This complex presentation might best be described as a case of gastrocolopyopneumothorax, diagnosis of which was further complicated by the intermittent nature of the herniation.
本文描述了一例创伤性膈疝病例,其中疝入的腹部器官、脓性渗出物和气体共同导致了明显的纵隔移位。这种复杂的表现最恰当的描述可能是胃结肠脓气胸病例,而疝出的间歇性性质使该病例的诊断更加复杂。