Tamura K, Satoh Y, Ikoma A, Miyazaki T
Department of Internal Medicine, Miyazaki Prefectural Hospital, Japan.
Respiration. 1991;58(3-4):211-3. doi: 10.1159/000195929.
A 32-year-old Japanese housewife with a 2-year history of retroperitoneal and pulmonary lymphangiomyomatosis had a sudden onset of severe abdominal pain. Chest X-ray and plain abdominal films showed free air under the diaphragm and a small pneumothorax in the left lower pleural space. Emergency laparotomy revealed no perforated viscera, but there was a rupture in the mid-portion of the left diaphragm. It appears that increasing pressure in the left pneumothorax burst the left diaphragm leading to pneumoperitoneum.
一名32岁的日本家庭主妇，有2年腹膜后和肺淋巴管肌瘤病病史，突然出现严重腹痛。胸部X线和腹部平片显示膈下有游离气体，左下胸膜腔有小气胸。急诊剖腹探查未发现内脏穿孔，但左膈肌中部有破裂。看来左气胸压力增加导致左膈肌破裂，进而引起气腹。
