Bairagi Anjana, Moodley Saundrarajen R, Hardcastle Timothy C, Muckart David J
Department of Surgery, University of KwaZulu Natal, Mayville, 4058, South Africa.
J Emerg Trauma Shock. 2010 Jan;3(1):70-2. doi: 10.4103/0974-2700.58659.
Acute right hemidiaphragm rupture with abdominal visceral herniation is reportedly less common than on the left. We present a complex case of blunt rupture of the right hemidiaphragm with herniation of the right colon and right lobe of the liver in a multiply injured patient. The diagnostic approach, with specific reference to the imaging studies, and surgical management is discussed, followed by a brief literature review highlighting the complexities of the case.
据报道,急性右半膈肌破裂伴腹腔内脏器疝出比左侧少见。我们报告了一例多发伤患者中,右半膈肌钝性破裂伴右结肠和肝右叶疝出的复杂病例。讨论了诊断方法,特别是影像学检查,以及手术治疗,并进行了简要的文献综述,突出了该病例的复杂性。