Vásquez J C, Castañeda E, Bazán N
Universidad Peruana Cayetano Heredia, Lima, Peru.
Rev Gastroenterol Peru. 1996 May-Aug;16(2):158-61.
We present a case of traumatic diaphragmatic hernia of delayed presentation, 2 years after a stab wound in the inferior thorax. The patient, a 31 year-old man, arrived to the hospital complaining of abdominal pain and vomiting, but then developed a clinical picture of low intestinal obstruction. When the abdominal cavity was surgically explored, a diaphragmatic defect of 2.5 cm was found, through which the omentum and part of the colon were herniated to the thorax. After the operation, the patient had a good outcome and was discharged 8 days later.
我们报告一例延迟出现的创伤性膈疝病例,该患者在胸部下方被刺伤两年后发病。患者为一名31岁男性,因腹痛和呕吐入院,但随后出现低位肠梗阻的临床表现。手术探查腹腔时,发现一个2.5厘米的膈肌缺损,大网膜和部分结肠通过该缺损疝入胸腔。手术后,患者恢复良好,8天后出院。