Department of Internal Medicine, University of Connecticut, Farmington, Connecticut, USA.
Am J Med Sci. 2011 May;341(5):423-5. doi: 10.1097/MAJ.0b013e31820e7f1f.
Diaphragmatic hernias caused or exacerbated by colonoscopy are rare with only few cases reported. The author reports here an unusual case of herniation and incarceration of the colon into the left thoracic cavity without bowel perforation after an uneventful screening colonoscopy, through an occult focal diaphragmatic weakness from the patient's prior trauma.
结肠镜检查引起或加重的膈疝很少见,仅有少数病例报告。作者在此报告了一例不寻常的病例,在无并发症的筛查性结肠镜检查后,结肠通过患者先前创伤导致的隐匿性局部膈肌薄弱处疝入并嵌顿至左侧胸腔,但没有肠穿孔。