肋間より胃管脱出を認めるも気胸を発症しなかった鋭的外傷性横隔膜ヘルニアの１例

• 和田 幸之

  千代田中央病院外科

• 入江 秀明

  千代田中央病院外科

• 弘中 克治

  千代田中央病院外科

書誌事項

タイトル別名

• A CASE OF TRAUMATIC DIRECT DIAPHRAGMATIC HERNIA WITH PENETRATION OF THE STOMACH THROUGH THE INTERCOSTAL SPACE

抄録

We experienced a very rare case of traumatic direct diaphragmatic hernia without pneumothorax, A 68-year-old woman was injured the left chest and flank by a brad of a sickle and then transferred to our hospital as an emergency case. The examinations showed that the left chest and flank were injured, but no pneumothorax had occurred although the stomach escaped through the intercostal space in the left chest. Emergency operation was performed with a diagnosis of open injury of the left chest and traumatic direct diaphragmatic hernia with escape of the stomach. Intraoperative findings showed traumatic diaphragmatic hernia with the stomach penetrating through the intercostal space, but either lung injury or pneumothorax was absent. The patient recovered without any complications after the operation. This case was considered very rare in lacking pneumothorax despite traumatic direct diaphragmatic hernia with such a huge open injury of the chest wall as the stomach had ruptured through the intercostal space. We report the case with a review of the literature.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 67 (11), 2595-2598, 2006

  日本臨床外科学会

キーワード

• 外傷性横隔膜ヘルニア
• 気胸
• 胃管

詳細情報

• CRID: 1390282679825569920
• NII論文ID: 10018653603
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.67.2595
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/67/11/67_11_2595/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2007106389
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可