Angelescu N, Jitea N, Bordea A, Voiculescu S, Vlădăreanu M, Mircea N, Serban D
Clinica Chirugicală Colţea, Bucureşti.
Chirurgia (Bucur). 1997 Jan-Feb;92(1):33-8.
Case report of a 57-year-old man, admitted in emergency, because of high occlusion and severe dyspnea. The physical examination and the imagistics explorations established the diagnostic of strangulated left diaphragmatic hernia. After a short re-equilibration, the surgical approach was made by left thoracophrenolaparotomy and on realize the visceral reduction, the treatment of visceral injuries and the plasty of the pretty high diaphragmatic defect with a nylon mesh. The postoperative evolution was difficult, with hemorrhagic gastropathy, blocked evisceration, pneumonia and left pleural empyema. The control at 10 months show a patient appearing very well, with a voluminous eventration (who need surgical treatment) with normal image on the chest radiography, left hemidiaphragm in normal position and immobile, the gastrointestinal tract sitting intraabdominal, without parietal injuries.
一名57岁男性的病例报告，因高位梗阻和严重呼吸困难急诊入院。体格检查和影像学检查确诊为绞窄性左膈疝。经过短暂的调整后，通过左胸膈剖腹术进行手术，实现了内脏复位、内脏损伤的治疗以及用尼龙网对高位膈缺损进行修补。术后病情发展困难，出现了出血性胃病、肠管嵌顿、肺炎和左胸腔积脓。10个月时的检查显示患者状况良好，有一个巨大的腹疝（需要手术治疗），胸部X线片显示图像正常，左半膈位置正常且固定不动，胃肠道位于腹腔内，无腹壁损伤。
