[Right delayed traumatic diaphragmatic hernia; report of a case].
Masao Chujo, Takashi Yoshimatsu, Toshihisa Kimura, K Tohara, Michiyo Miyawaki, Yasue Uchida, Kenji Kawahara
Abstract
Masao Chujo, Takashi Yoshimatsu, Toshihisa Kimura, K Tohara, Michiyo Miyawaki, Yasue Uchida, Kenji Kawahara
Abstract
An 80-year-old woman was admitted to our hospital with abnormal shadow on chest X-ray 8 years after a chest trauma during which multiple ribs on the right side were fractured causing hemothorax. A diagnosis of right delayed traumatic diaphragmatic hernia was based on the findings on plain X-ray and multislice computed tomography. We performed surgery via thoracic approach with thoracoscopic assist. The transverse colon, liver, and omentum were dislocated into the right thoracic cavity and hardly adhered to the lung. We successfully repaired the ruptured diaphragm. The postoperative course was uneventful and the patient was discharged on the 33rd postoperative day.
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An 80-year-old woman was admitted to our hospital with abnormal shadow on chest X-ray 8 years after a chest trauma during which multiple ribs on the right side were fractured causing hemothorax. A diagnosis of right delayed traumatic diaphragmatic hernia was based on the findings on plain X-ray and multislice computed tomography. We performed surgery via thoracic approach with thoracoscopic assist. The transverse colon, liver, and omentum were dislocated into the right thoracic cavity and hardly adhered to the lung. We successfully repaired the ruptured diaphragm. The postoperative course was uneventful and the patient was discharged on the 33rd postoperative day.
Key concepts: Medicine, Hemothorax, Thoracic cavity, Surgery, Diaphragm (acoustics), Transverse colon, Diaphragmatic hernia, Pleural cavity