Aladaileh M, O'Driscoll-Collins A, O'Keeffe F, Conneely J B, Redmond K
Department of Thoracic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.
Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland.
Ann R Coll Surg Engl. 2020 Jan;102(1):e4-e6. doi: 10.1308/rcsann.2019.0120. Epub 2019 Sep 11.
Thoracoabdominal hernia following blunt trauma is extremely rare. Abdominal viscera are more likely to herniate into the thorax if there is traumatic diaphragmatic rupture. We report the case of a patient presenting with a traumatic thoracoabdominal hernia containing part of the right lobe of the liver and the hepatic flexure of the colon. The hernia migrated cranially, to protrude through a seventh intercostal defect despite the diaphragm remaining fully intact. The need for early multispecialty (thoracic and hepatobiliary) surgical repair is highlighted, with improvements in surgical outcome for a complex trauma case by using a novel chest-wall reconstruction technique.
钝性创伤后胸腹疝极为罕见。如果存在创伤性膈肌破裂,腹腔脏器更有可能疝入胸腔。我们报告了一例创伤性胸腹疝患者的病例,疝内容物包括部分肝右叶和结肠肝曲。尽管膈肌保持完全完整,但疝向上迁移,通过第七肋间缺损突出。强调了早期多专科(胸科和肝胆科)手术修复的必要性,通过使用一种新颖的胸壁重建技术,改善了复杂创伤病例的手术结果。