Department of Surgery, MGM Medical College and MY Hospital, Indore, Madhya Pradesh 452001, India.
Hernia. 2012 Feb;16(1):113-5. doi: 10.1007/s10029-010-0717-5. Epub 2010 Aug 21.
The herniation of abdominal contents through a diaphragmatic and chest wall rent has been uncommonly reported in literature. Also known as a transdiaphragmatic intercostal hernia (TDIH) or intercostal pleuroperitoneal hernia, it occurs when the disruption of diaphragmatic or intercostal muscles leads to an acquired herniation of abdominal contents. It is usually seen to occur following a traumatic incident. We report the case of an elderly male who presented with a reducible lump in the left chest and breathlessness on exertion, in the absence of any trivial or occult trauma, and how this was managed adequately via surgery alone.
膈和胸壁缺损导致的腹部内容物疝出在文献中少见报道。这种膈疝或肋间胸膜疝也被称为经膈肌肋间疝（TDIH），发生于膈肌或肋间肌破裂导致腹部内容物获得性疝出时。通常见于创伤事件后。我们报告了一例老年男性病例，其左侧胸部出现可复性肿块，用力时呼吸困难，但无明显或隐匿性创伤，仅通过手术即可充分治疗。
