Mill Victor, Brodin Claes
Kliniken för kirurgi och urologi, Nyköpings Lasarett - Nyköping, Sweden Kirurgkliniken Nyköpings Lasarett - Nyköping, Sweden.
Lakartidningen. 2017 Apr 19;114:EFHA.
Large bowel obstruction with effects on the mediastinum We present a patient in which the colon and left kidney herniated through a left-sided diaphragmatic hernia. The cause of the hernia was unknown, although most likely it emanated from an earlier diaphragmatic rupture caused by trauma. Due to a diverticular stenosis of the sigmoid colon, the patient developed large bowel obstruction, causing displacement of mediastinal structures. Emergency laparotomy and anterolateral thoracotomy was performed.
伴有纵隔影响的大肠梗阻 我们报告一例患者,其结肠和左肾通过左侧膈疝疝出。疝的病因不明,尽管很可能源于先前外伤导致的膈肌破裂。由于乙状结肠憩室狭窄,患者出现大肠梗阻,导致纵隔结构移位。进行了急诊剖腹手术和前外侧开胸手术。