自发性结肠膈心包疝导致结肠梗阻和右心室塌陷
Spontaneous Colonic Diaphragmatic Pericardial Herniation Causing Colonic Obstruction and Right Ventricular Collapse.
作者信息
Simhadri Prathap Kumar, Celis Rene, Singh Prabhat, Burgoyne Gregory, Bingi Kishore
机构信息
Department of Internal Medicine, Advent Health/Florida State University College of Medicine, Daytona Beach, Florida, USA.
Department of Cardiology, Advent Health, Daytona Beach, Florida, USA.
出版信息
JACC Case Rep. 2025 May 28;30(12):103513. doi: 10.1016/j.jaccas.2025.103513.
A 76-year-old man presented with diaphragmatic herniation of the colon that was causing bowel obstruction with gangrene seen on a computed tomography scan and right ventricular (RV) collapse seen on a transthoracic echocardiogram. The patient's condition was successfully managed with emergency robotic colectomy and diaphragmatic hernia repair. His RV function returned to normal, and he had no sign of diaphragmatic herniation recurrence at follow-up or on imaging.
一名76岁男性因结肠膈疝就诊，计算机断层扫描显示存在肠梗阻伴肠坏疽，经胸超声心动图显示右心室塌陷。该患者通过急诊机器人结肠切除术和膈疝修补术成功得到治疗。其右心室功能恢复正常，随访及影像学检查均未发现膈疝复发迹象。
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