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术后迟发性膈疝伴血胸,病因是胃绞窄。

A delayed post-operative diaphragmatic hernia with hemothorax due to a strangulated stomach.

作者信息

Al-Saqqa Rama, Sabouni Rami, Jarad Lana, Abbas Nizar

机构信息

Faculty of Medicine, Damascus University, Damascus, Syria.

Department of Thoracic Surgery, Al-Assad University Hospital, Damascus, Syria.

出版信息

J Surg Case Rep. 2020 Dec 28;2020(12):rjaa515. doi: 10.1093/jscr/rjaa515. eCollection 2020 Dec.

Abstract

Traumatic diaphragmatic hernias (TDHs) are uncommon, and they mostly occur following blunt or penetrating traumatic injury and rarely as a complication of Iatrogenic procedure. The management of TDHs is through surgical repair. In this article, we present the case of a diaphragmatic herniation presenting 1 year after thoracic surgery in a 16-year-old male. The patient presented with gastrointestinal obstruction symptoms and later developed a hypovolemic shock due to stomach bleeding. Immediate exploratory thoracotomy was performed, and the patient reached a full recovery afterward.

摘要

创伤性膈疝(TDHs)并不常见,大多发生于钝性或穿透性创伤后,很少作为医源性手术的并发症出现。TDHs的治疗方法是手术修复。在本文中,我们报告了一例16岁男性在胸外科手术后1年出现膈疝的病例。该患者出现肠梗阻症状,随后因胃出血发展为低血容量性休克。立即进行了开胸探查术,患者术后完全康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c31/7769220/85c9ce958575/rjaa515f1.jpg

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