Benson Austin, Hurley Luke, Bauer Michael
University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Surgical Institute, Sioux Falls, South Dakota.
S D Med. 2022 Dec;75(12):546-548.
Traumatic diaphragmatic injury (TDI) is a rare and dangerous sequela of trauma. Right sided TDI is even more uncommon due to the usual protection of the diaphragm by the liver. TDI can present in a delayed fashion, making diagnosis difficult to obtain. In any case TDI needs to be taken very seriously as it can lead to bowel strangulation and require emergency surgery. Multiple approaches have been described in order to definitively repair diaphragmatic defects. This report describes a patient who developed a delayed onset right sided diaphragmatic hernia after experiencing blunt trauma.
创伤性膈肌损伤（TDI）是一种罕见且危险的创伤后遗症。由于肝脏通常对膈肌起到保护作用，右侧TDI更为少见。TDI可能以延迟的方式出现，使得诊断难以获得。在任何情况下，TDI都需要被高度重视，因为它可能导致肠绞窄并需要紧急手术。为了确切修复膈肌缺损，已经描述了多种方法。本报告描述了一名在遭受钝性创伤后出现延迟性右侧膈肌疝的患者。
