Lonardo M T, Frezzotti F, Collalti M, Natili A, Metere A
G Chir. 2020 Jan-Feb;41(1):99-102.
Most diaphragmatic ruptures are due to the traumatic or penetrating injury, while the spontaneous diaphragmatic rupture is considered uncommon. The spontaneous transdiaphragmatic hernia is a consequence of violent coughing, vomiting that increase the thoracoabdominal pressure causing the diaphragmatic rupture. Even rarer is the concomitant prolapse of abdominal viscera into the thoracic subcutis through the chest wall, a condition known as spontaneous transdiaphragmatic intercostal hernia. Herein, we present a rare case of spontaneous transdiaphragmatic intercostal hernia presenting as a thoracoabdominal emergency.
大多数膈肌破裂是由创伤性或穿透性损伤引起的，而自发性膈肌破裂被认为较为罕见。自发性经膈疝是剧烈咳嗽、呕吐导致胸腹压力增加引起膈肌破裂的结果。更罕见的是腹腔脏器通过胸壁脱垂至胸壁皮下，这种情况被称为自发性经膈肋间疝。在此，我们报告一例罕见的以胸腹急症形式出现的自发性经膈肋间疝病例。
