Surgery, Austin Health, Heidelberg, Victoria, Australia
Radiology, Austin Health, Heidelberg, Victoria, Australia.
BMJ Case Rep. 2022 Jan 17;15(1):e246832. doi: 10.1136/bcr-2021-246832.
Spontaneous transdiaphragmatic intercostal hernia is an extremely rare clinical entity featuring dual defects in the diaphragm and chest wall. We report on the case of a 59-year-old man who developed a large left-sided hernia secondary to the minor trauma of a coughing fit. The hernia subsequently enlarged over the course of 3 years until it contained the stomach, leading to a gastric volvulus and tension gastrothorax with secondary pneumothorax. A subtotal gastrectomy was performed with Roux-en-Y reconstruction, and he made a full recovery.
自发性横膈膜肋间疝是一种极为罕见的临床病症，其特点是横膈膜和胸壁同时存在双重缺陷。我们报告了一例 59 岁男性病例，他因咳嗽引发轻微外伤而导致左侧大型疝。此后，疝在 3 年内逐渐增大，直至包含胃部，导致胃扭转和张力性膈胸，继发气胸。行部分胃切除术和 Roux-en-Y 重建术，患者完全康复。
