May James, Ades A
Frances Perry House, Melbourne, Victoria, Australia.
BMJ Case Rep. 2013 Dec 5;2013:bcr2013201088. doi: 10.1136/bcr-2013-201088.
The porous diaphragm syndrome is associated with the presence of diaphragmatic fenestrations creating peritoneopleural communications. Such defects may occur in conditions associated with a rise on intra-abdominal pressure including laparoscopic surgery. Thoracic complications of laparoscopic surgery may occur as a result. A 48-year-old woman underwent a total laparoscopic hysterectomy for heavy menstrual bleeding. The postoperative period was complicated by haemoperitoneum resulting in haemothorax secondary to porous diaphragm syndrome. Surgeons and anaesthetists should be aware of the possibility of serious thoracic complications related to laparoscopic surgery.
多孔膈肌综合征与膈肌出现造成腹膜-胸膜腔连通的小孔有关。此类缺陷可能发生在与腹内压升高相关的情况中，包括腹腔镜手术。腹腔镜手术的胸部并发症可能由此产生。一名48岁女性因月经过多接受了全腹腔镜子宫切除术。术后出现腹腔积血，继发多孔膈肌综合征导致血胸。外科医生和麻醉医生应意识到与腹腔镜手术相关的严重胸部并发症的可能性。
