Hornstrup Louise, Burcharth Flemming
Herlev Hospital, Kirurgisk Gastroenterologisk Afdeling, Herlev.
Ugeskr Laeger. 2008 Apr 28;170(18):1571.
We report a case of a traumatic diaphragmatic rupture with the liver displaced to the right hemithorax. MR diagnosed the rupture and the displacement of the liver. The patient was operated on and the total right diaphragmatic rupture was reconstructed by suturing. Traumatic diaphragmatic rupture may occur after high velocity accidents, especially after lateral collisions in traffic. Diagnosis may be delayed as a result of variable clinical and radiological signs. It is important to discover the rupture in the acute phase. Treatment is operative.
我们报告一例创伤性膈肌破裂伴肝脏移位至右侧胸腔的病例。磁共振成像(MR)诊断出膈肌破裂及肝脏移位。患者接受了手术,通过缝合对右侧膈肌完全破裂进行了修复。创伤性膈肌破裂可能发生在高速事故后,尤其是交通事故中的侧面碰撞后。由于临床和放射学表现多样,诊断可能会延迟。在急性期发现破裂很重要。治疗方法是手术治疗。