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心血管磁共振诊断医源性心包内膈疝。

Iatrogenic intrapericardial diaphragmatic hernia diagnosed by cardiovascular magnetic resonance.

机构信息

Department of Internal Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.

出版信息

J Cardiovasc Magn Reson. 2010 Jan 8;12(1):3. doi: 10.1186/1532-429X-12-3.

DOI:10.1186/1532-429X-12-3
PMID:20064206
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2817870/
Abstract

Intrapericardial diaphragmatic hernias are very uncommon and are most typically caused by high-force blunt trauma. Other iatrogenic causes such as prior surgical formation of a pericardial window have been described, but are exceedingly rare. We present a case of an intrapericardial diaphragmatic hernia in a patient with a prior pericardial window in which the diagnosis was unclear using conventional imaging modalities, but was established using cardiovascular magnetic resonance.

摘要

心包内膈疝非常罕见,通常由高强度钝性创伤引起。其他医源性原因,如先前心包窗的形成,也有报道,但极为罕见。我们报告了一例心包窗患者的心包内膈疝,常规影像学检查无法明确诊断,但心血管磁共振检查明确了诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/2817870/d6509e1d4de7/1532-429X-12-3-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/2817870/9ee092015faa/1532-429X-12-3-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/2817870/6ffa665e0bf6/1532-429X-12-3-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/2817870/d6509e1d4de7/1532-429X-12-3-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/2817870/9ee092015faa/1532-429X-12-3-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/2817870/6ffa665e0bf6/1532-429X-12-3-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2a7/2817870/d6509e1d4de7/1532-429X-12-3-3.jpg

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本文引用的文献

1
Iatrogenic intrapericardial diaphragmatic hernia associated with cardiac tamponade.医源性心包内膈疝伴心脏压塞
J Trauma. 2001 Jan;50(1):136-9. doi: 10.1097/00005373-200101000-00028.
2
Traumatic intrapericardial diaphragmatic hernia diagnosed by echocardiography.经超声心动图诊断的创伤性心包内膈疝
J Trauma. 1997 Jan;42(1):115-7. doi: 10.1097/00005373-199701000-00021.
3
Neonatal septum transversum diaphragmatic defects.新生儿横膈膜隔缺损
无症状成人心脏 SPECT CT 检测发现的心包内膈疝。
J Nucl Cardiol. 2018 Oct;25(5):1875-1878. doi: 10.1007/s12350-017-1129-z. Epub 2017 Nov 16.
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Conventional mesh repair of a giant iatrogenic bilateral diaphragmatic hernia with an enterothorax.巨大医源性双侧膈疝伴肠胸的传统网片修补术。
Int Med Case Rep J. 2014 Feb 12;7:23-5. doi: 10.2147/IMCRJ.S54361. eCollection 2014.
Am J Surg. 1984 Apr;147(4):481-5. doi: 10.1016/0002-9610(84)90009-6.
4
Intrapericardial diaphragmatic hernia after subxiphoid epicardial pacemaker insertion: case reports.剑突下心外膜起搏器植入术后心包内膈疝:病例报告
J Thorac Cardiovasc Surg. 1984 Oct;88(4):633-5.
5
Iatrogenic peritoneopericardial hernia following coronary artery bypass surgery.冠状动脉搭桥手术后医源性腹膜心包疝
Eur J Cardiothorac Surg. 1992;6(3):156-7. doi: 10.1016/1010-7940(92)90122-e.
6
Intrapericardial diaphragmatic hernia in adults.成人的心包内膈疝
Ann Surg. 1979 Mar;189(3):359-66. doi: 10.1097/00000658-197903000-00018.