Belio Castillo C, Bercowsky J, Vidal Castro A L
Bol Med Hosp Infant Mex. 1980 Mar-Apr;37(2):247-53.
A case is reported of generalized acute abdominal pain in a school boy 11 years old with history of abdominal trauma produced by the introduction of a steel rod into the right hypochondrium. Laparatomy and prophylactic appendectomy were practiced and the diagnosis of situs inversus was made in his homestead. Six months later, the patient complained of intermittent abdominal pain, vomiting and absence of stools. With this picture, he was reoperated at this hospital where a right perforation of the diaphragm was found, through which the stomach, the epiploon and part of the ascending colon protruded into the chest. Said viscera were returned to the abdominal cavity and the diaphragmatic defect was sutured. The evolution was uneventful and the patient was discharged 10 days after surgery.
报告一例11岁男学生的病例，该学生有将一根铁棍插入右季肋部导致腹部创伤的病史，出现了全身性急性腹痛。进行了剖腹手术和预防性阑尾切除术，并在其家中诊断出内脏反位。六个月后，患者主诉间歇性腹痛、呕吐和无大便。基于此症状，他在本院再次接受手术，术中发现右侧膈肌穿孔，胃、网膜和部分升结肠通过该穿孔突入胸腔。将上述内脏回纳至腹腔，并缝合膈肌缺损处。术后恢复顺利，患者术后10天出院。
