Yetkin Gürkan, Uludag Mehmet, Citgez Bülent
Sisli Etfal Training and Education Hospital, General Surgery, etfal sokak no. 1 Sisli Istanbul, Istanbul, 34360, Turkey.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.06.2008.0258. Epub 2009 Mar 5.
Traumatic ruptures of the diaphragm occur after blunt or penetrating thoracoabdominal injuries and are one of the most overlooked conditions. Although the risk of death due to rupture per se is low, when left undiagnosed this condition may cause serious complications and death due to gastrointestinal herniation. In this report, a patient with traumatic rupture of the diaphragm who presented with signs of intestinal obstruction is reported. The rupture occurred as a result of an abdominal penetrating injury sustained 3 years ago, and was not diagnosed during the acute phase of injury.
创伤性膈肌破裂发生于钝性或穿透性胸腹损伤后,是最易被忽视的病症之一。尽管膈肌破裂本身导致死亡的风险较低,但如果未被诊断出来,这种情况可能会因胃肠道疝出而导致严重并发症和死亡。在本报告中,报道了一名患有创伤性膈肌破裂并出现肠梗阻症状的患者。破裂是由3年前遭受的腹部穿透伤所致,在损伤急性期未被诊断出来。