Department of Surgery, Nara Medical University, 840 Shijo-cho, Kashihara, Nara, 634-8522, Japan.
Surg Today. 2011 Sep;41(9):1298-301. doi: 10.1007/s00595-010-4501-z. Epub 2011 Aug 26.
We report a case of intrathoracic herniation of the colonic interposition pulled up through the retrosternal space after subtotal esophagectomy for esophageal cancer. The patient, a 68-year-old man, presented with progressive dysphagia about 1 year after this operation. We performed left thoracotomy and laparotomy, which revealed the reconstructed colon herniating into the left thoracic cavity through a large defect in the left mediastinal pleura. The redundant colon was resected, and the colonic graft was shortened and straightened. We concluded that the defect in the mediastinal pleura and colonic redundancy had permitted the colonic graft to herniate into the left thoracic cavity.
我们报告一例食管癌次全切除术后胸骨后间隙结肠间位疝。患者为 68 岁男性，在该手术后约 1 年出现进行性吞咽困难。我们进行了左开胸和剖腹手术，发现重建的结肠通过左纵隔胸膜上的大缺损疝入左胸腔。切除多余的结肠，缩短并拉直结肠移植物。我们得出结论，纵隔胸膜缺损和结肠冗余使结肠移植物疝入左胸腔。
