Inaba Hirohisa, Shimojima Reiko, Miyabe Rika, Shintani Tsunehiro, Kobayashi Hideaki, Shiraishi Kou, Nakayama Takamori, Mori Shunji, Isobe Kiyoshi
Department Respiratory Surgery, Shizuoka Red Cross Hospital, Shizuoka, Japan.
Kyobu Geka. 2011 Aug;64(9):836-9.
A 71-year-old man, who had been given a diagnosis of Bochdalek hernia in infancy, was referred to our hospital for dyspnea The chest X-ray and computed tomography (CT) showed left pneumothorax with bullas and intestines in his left thoracic cavity. He was admitted to our hospital and a chest tube was inserted into the left pleural cavity. The left lung expanded immediately and air leakage was stopped. He became asymptomatic and he was discharged from the hospital on the 8th day. Most Bochdalek hernias are observed in infancy, and adult cases combined with pneumothorax and bullas are very rare.
一名71岁男性,婴儿期被诊断为Bochdalek疝,因呼吸困难转诊至我院。胸部X线和计算机断层扫描(CT)显示左气胸伴肺大疱,左胸腔内有肠管。他被收治入院,左侧胸腔插入胸腔引流管。左肺立即复张,漏气停止。他症状消失,于第8天出院。大多数Bochdalek疝在婴儿期被发现,合并气胸和肺大疱的成人病例非常罕见。