Aronchick J M, Epstein D M, Gefter W B, Miller W T
Department of Radiology, Hospital of the University of Pennsylvania 19104.
Radiology. 1988 Sep;168(3):675-8. doi: 10.1148/radiology.168.3.3406397.
Five patients with chronic traumatic diaphragmatic hernia presented with symptoms of acute intestinal obstruction and unilateral pleural effusion. In each case, infarcted herniated abdominal structures were found at surgery. The presence of an ipsilateral pleural effusion is an important radiographic sign, which may indicate strangulation in patients with chronic traumatic diaphragmatic hernia.
5例慢性创伤性膈疝患者出现急性肠梗阻症状和单侧胸腔积液。在每例患者的手术中均发现疝入胸腔的腹部结构发生梗死。同侧胸腔积液的存在是一个重要的影像学征象,这可能提示慢性创伤性膈疝患者发生了绞窄。