环状疝导致的闭锁肺：一例病例报告
Locked lung by looped hernia: a case report.
作者信息
Rahman Abu-Ahmed Z, Panda Mukta
机构信息
Department of Internal Medicine; UTCOM, Chattanooga, 960 East Third Street Suite 200, White Hall Building, Chattanooga, TN 37403, USA.
出版信息
Cases J. 2009 Jan 8;2(1):29. doi: 10.1186/1757-1626-2-29.
BACKGROUND
Large pleural effusions are usually symptomatic. We report a patient with asymptomatic massive left sided pleural effusion with left lung collapse secondary to a traumatic diaphragmatic hernia.
CASE PRESENTATION
A 44 year old male presented with recurrent pleural effusions over six weeks. His pleural effusion was first diagnosed incidentally on a chest X-ray after a fall. Extensive diagnostic studies were unyielding for the etiology of the effusion. A diagnostic and therapeutic video assisted thoracoscopy revealed a diaphragmatic hernia with inflamed, incarcerated omentum. After hernia repair there was no recurrence.
CONCLUSION
This case underscores the obscure presentation of an incarcerated diaphragmatic hernia presenting as massive recurrent pleural effusions.
背景
大量胸腔积液通常有症状。我们报告一例患者，其因创伤性膈疝导致左侧大量无症状胸腔积液伴左肺萎陷。
病例介绍
一名44岁男性在六周内反复出现胸腔积液。他的胸腔积液最初是在一次跌倒后胸部X线检查时偶然发现的。广泛的诊断性检查未能明确积液的病因。诊断性和治疗性电视辅助胸腔镜检查发现一个膈疝，伴有发炎、嵌顿的大网膜。疝修补术后未再复发。
结论
本病例强调了嵌顿性膈疝表现为大量反复胸腔积液时的隐匿性。
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