Carvajal Balaguera J J, Mallagray Casas S, Peña Gamarra L, Gómez Maestro P, Monterde García G, Tello López I
Servicio de Cirugía General y Torácica, Hospital Central de la Cruz Roja Española, Madrid.
Arch Bronconeumol. 1995 Jun-Jul;31(6):287-9.
We report a case of Bochdalek's hernia with volvulus of the stomach and extrapulmonary sequestration in an adult. A 27-year-old woman presented acute respiratory failure, pain in the left side of the chest and recurrent vomiting of sudden onset. Upon examination there was pain in the left hypochondrium that was not tolerated in decubitus position. A chest film showed an "arch" at the base on the left side and an upper gastrointestinal series revealed volvulus of the stomach. After a left thoracotomy, the stomach, spleen and greater omentum were found displaced into the thoracic cavity. After the viscera were confined to the abdomen, the hernia was repaired and the pulmonary sequestration was removed. Two years later, the patient was asymptomatic and a chest film was normal.
我们报告一例成人Bochdalek疝合并胃扭转及肺外隔离症。一名27岁女性突发急性呼吸衰竭、左侧胸痛及反复呕吐。检查时发现左季肋部疼痛，卧位时无法耐受。胸部X线片显示左侧底部有一“弓形”影，上消化道造影显示胃扭转。左胸开胸术后，发现胃、脾和大网膜移位至胸腔。将脏器还纳至腹腔后，修补疝并切除肺外隔离症。两年后，患者无症状，胸部X线片正常。
