Schiano di Visconte M, Picciano P, Munegato G
Dipartimento di Chirurgia Generale, Ospedale S. Maria dei Battuti, Conegliano, Treviso, Italy.
Minerva Chir. 2006 Oct;61(5):451-4.
Traumatic rupture of diaphragm is sometimes diagnosed many years after the traumatic event. Due to the silent nature of diaphragmatic injuries, the diagnosis is easily missed or difficult. We describe a rare case of right diaphragmatic hernia, in which the diagnosis was made many years after the trauma. The incidence of right diaphragmatic hernia is about 11-14% of all diaphragmatic hernias. The patient showed acute hernia of the small intestine and was treated with resection of the intestinal loop and repair of breakthrough by suture. The diagnosis was made with a standard X-ray of thorax and abdomen. CT scan and NMR give more accurate information in these cases. The surgical repair is the treatment of choice in all traumatic diaphragmatic hernias.
创伤性膈肌破裂有时在创伤事件发生多年后才被诊断出来。由于膈肌损伤的隐匿性，诊断很容易被遗漏或困难。我们描述了一例罕见的右侧膈疝病例，该病例在创伤多年后才得以诊断。右侧膈疝的发生率约占所有膈疝的11 - 14%。该患者表现为小肠急性疝出，并接受了肠袢切除及缝合修补破裂处的治疗。通过胸部和腹部的标准X线进行诊断。在这些病例中，CT扫描和核磁共振能提供更准确的信息。手术修补是所有创伤性膈疝的首选治疗方法。
