Stefani A, Brandi L, Ruggiero C, Lodi R
Department of Cardio-Thoracic Surgery, University of Modena, Italy.
J Cardiovasc Surg (Torino). 1998 Dec;39(6):859-61.
An unusual case of traumatic pericardiophrenic rupture is presented. The defect was limited to the central tendon of the diaphragm, with herniation of the stomach into the pericardial sac. A correct preoperative diagnosis was not made because laparotomy was quickly performed for splenic rupture. Successful operative repair of the tear was performed, with interrupted reabsorbable sutures. The case is discussed and the management of patients with these rare lesions is reviewed.
本文报告了一例罕见的创伤性心包膈破裂病例。缺损仅限于膈肌中央腱,胃疝入心包囊。由于因脾破裂迅速进行了剖腹手术,术前未能做出正确诊断。采用可吸收间断缝线成功地进行了撕裂修补手术。对该病例进行了讨论,并回顾了这类罕见病变患者的处理方法。