Wani Abdul Majid, Al Qurashi Turki, Rehman Saif Abdul, Al Harbi Zeyad S, Sabbag Abdul Rehman Y, Al Ahdal Mohd
Department of Emergency Medicine, Hera General Hospital, Makkah, Saudi Arabia.
BMJ Case Rep. 2010 Sep 7;2010:bcr0420102874. doi: 10.1136/bcr.04.2010.2874.
Diaphragmatic injuries are quite uncommon and often result from either blunt or penetrating trauma. Diaphragmatic ruptures are usually associated with abdominal trauma; however, it can occur in isolation. Acute traumatic rupture of the diaphragm may go unnoticed and there is often a delay between the injury and the diagnosis. Patients present with non-specific symptoms and may complain of chest pain, abdominal pain, dyspnoea, tachypnoea and cough, heartburn and symptoms of gastro-oesophageal reflux. Respiratory distress and faeco-pneumothorax have been reported. We present an interesting case of traumatic diaphragmatic hernia presenting 5 years after a road traffic accident as acute abdomen and massive haematemesis due to strangulated gangrenous gastric hernia.
膈肌损伤相当罕见，通常由钝性或穿透性创伤引起。膈肌破裂通常与腹部创伤有关；然而，它也可能单独发生。急性创伤性膈肌破裂可能未被察觉，损伤与诊断之间往往存在延迟。患者表现为非特异性症状，可能主诉胸痛、腹痛、呼吸困难、呼吸急促、咳嗽、烧心以及胃食管反流症状。曾有呼吸窘迫和粪气胸的报道。我们报告一例有趣的创伤性膈疝病例，该病例在道路交通事故5年后以急腹症和绞窄性坏疽性胃疝导致的大量呕血出现。
