贝尔西Mark IV胃底折叠术后创伤性右食管旁疝

Traumatic right paraesophageal hernia after Belsey Mark IV fundoplication.

作者信息

Durr Megan L, Yang Stephen C

机构信息

Department of Surgery, Division of Thoracic Surgery, Johns Hopkins Medical Institution, Baltimore, Maryland, USA.

出版信息

Ann Thorac Surg. 2008 Jan;85(1):321-2. doi: 10.1016/j.athoracsur.2007.07.054.

DOI:10.1016/j.athoracsur.2007.07.054

PMID:18154837

Abstract

We report the case of a 70-year-old woman with a long history of achalasia and gastroesophageal reflux disease who presented with an acute right-sided paraesophageal hernia after a motor vehicle accident. Six months before the accident, she underwent an elective Belsey Mark IV fundoplication to reduce a hiatal hernia. The traumatic paraesophageal hernia traversed the diaphragm at a weakness opposite the fundoplication. The clinical presentation, surgical management, and previous literature are discussed.

摘要

我们报告了一例70岁女性患者，该患者有贲门失弛缓症和胃食管反流病的长期病史，在机动车事故后出现急性右侧食管旁疝。事故发生前六个月，她接受了择期的Belsey Mark IV胃底折叠术以减少食管裂孔疝。创伤性食管旁疝在胃底折叠术相对的膈肌薄弱处穿过膈肌。本文讨论了其临床表现、手术治疗及既往文献。