Svolgaard Olivia, Burcharth Flemming
Gastroenheden, Kirurgisk Sektion, Herlev Hospital, DK-2730 Herlev.
Ugeskr Laeger. 2009 Jan 5;171(1-2):36-7.
Diaphragmatic hernia may be asymptomatic and may have a delayed clinical manifestation. We describe a 78-year-old man who developed colonic obstruction as a complication to a diaphragmatic hernia. Unlike most diaphragmatic hernias, this case was not associated with a trauma. Normally, the diagnosis is made clinically by means of thoracic X-ray, computer tomography or magnetic resonance imagining of the abdomen. In this patient, barium enema showed a tumor-like stenosis of the left colonic flexure, but intraoperative findings demonstrated a defect in the left diaphragm with herniation of the left colonic flexure and the greater omentum.
膈疝可能无症状，也可能有延迟的临床表现。我们描述了一名78岁男性，他因膈疝并发症出现结肠梗阻。与大多数膈疝不同，该病例与外伤无关。通常，通过胸部X线、计算机断层扫描或腹部磁共振成像进行临床诊断。在该患者中，钡灌肠显示左结肠曲有肿瘤样狭窄，但术中发现左膈肌有缺损，左结肠曲和大网膜疝入。
