Yoo Dong Gon, Kim Chong Wook, Park Chong-Bin, Ahn Jae Hong
Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2011 Feb;44(1):76-9. doi: 10.5090/kjtcs.2011.44.1.76. Epub 2011 Feb 12.
Right-sided diaphragmatic rupture is less common and more difficult to diagnose than left-sided lesion. It is rarely combined with the herniation of the abdominal organs into the thorax. High level of suspicion is the key to early diagnosis, and a delay in diagnosis is implicated with a considerable risk of mortality and morbidity. We experienced a case of right-sided diaphragmatic rupture combined with complete avulsion of the right kidney and herniation of the liver into the thoracic cavity.
右侧膈肌破裂比左侧损伤少见且更难诊断。它很少合并腹部脏器疝入胸腔。高度怀疑是早期诊断的关键,诊断延迟与相当大的死亡和发病风险相关。我们遇到一例右侧膈肌破裂合并右肾完全撕脱及肝脏疝入胸腔的病例。