Kimura M, Kasugai T, Kobayashi M, Hotta T
Department of Surgery, Ena Byoin National Sanatorium, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1993 Nov;41(11):2274-7.
Diaphragmatic hernia is a rare disease. And if the contents of hernia are intestines, the diagnosis is easy. But if those are great omentum or liver, discrimination from the thoracic tumor is difficult. We experienced a case of liver hernia protruded from the central tendon of the right diaphragm. A 6-year-old girl was admitted to our hospital for investigation of an abnormal shadow of the right lower lung filed, pointed out in the chest X-ray examination at school. We diagnosed as a congenital diaphragmatic hernia of the liver. We made a surgical correction and her postoperative course was uneventful.
膈疝是一种罕见疾病。如果疝内容物为肠管,诊断较为容易。但如果是大网膜或肝脏,则难以与胸内肿瘤相鉴别。我们遇到一例肝脏从右侧膈中心腱处突出的肝疝病例。一名6岁女孩因在校胸部X线检查中发现右下肺野异常阴影而入院。我们诊断为先天性肝膈疝。我们进行了手术矫正,术后过程顺利。