Loumiotis Ioannis, Kinkhabwala Milan M, Bhargava Amit
Department of Cardiothoracic Surgery, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, New York.
Montefiore-Einstein Center for Transplantation, Montefiore Medical Center, Bronx, New York.
Ann Thorac Surg. 2018 Jan;105(1):e5-e6. doi: 10.1016/j.athoracsur.2017.08.031.
Diaphragmatic liver herniation is often associated with thoracoabdominal trauma. Spontaneous diaphragmatic rupture is a thoracoabdominal emergency and requires a high index of suspicion combined with high-resolution imaging studies for establishing an accurate and timely diagnosis. We present a case report of a patient who was admitted to the emergency department with severe substernal chest pain and shortness of breath who was diagnosed with spontaneous diaphragmatic rupture and caudate liver herniation. The caudate lobe was incarcerated, contributing to the patient's symptoms. A celiotomy was performed and the defect was repaired primarily.
膈疝常与胸腹外伤相关。自发性膈肌破裂是一种胸腹急症，需要高度的怀疑指数并结合高分辨率影像学检查来准确及时地做出诊断。我们报告一例患者，因严重胸骨后胸痛和呼吸急促入住急诊科，被诊断为自发性膈肌破裂和尾状叶肝疝。尾状叶被嵌顿，导致了患者的症状。实施了剖腹术并对缺损进行了一期修复。
