Tucker Adam, Parissis Harry
Department of Cardiothoracics, Royal Victoria Hospital, Belfast, UK.
BMJ Case Rep. 2013 Apr 17;2013:bcr2012008349. doi: 10.1136/bcr-2012-008349.
Chronically ruptured diaphragms are difficult to diagnose. Often they are asymptomatic but convey a high risk for incarceration, and therefore surgical repair is mandatory. In the following case report, we present an abnormal 10×12 cm diaphragmatic defect whereby there was no anterior edge to the defect. This posed a challenge as to how to repair. We present a novel technique that facilitates sound solution through a thoracotomy approach.
慢性破裂的膈肌很难诊断。它们通常没有症状,但存在很高的嵌顿风险,因此手术修复是必要的。在以下病例报告中,我们展示了一个大小为10×12厘米的异常膈肌缺损,该缺损没有前缘。这对如何修复提出了挑战。我们提出了一种新颖的技术,通过开胸手术方法实现了合理的解决方案。