An Adult Case of Bochdalek Hernia with Complete Rupture of the Colon.

• YOSHIDA Hideaki

  Department of Surgery, Hakodate Red Cross Hospital

• EDAZAWA Hiroshi

  Department of Surgery, Hakodate Red Cross Hospital

• YANOH Kuniaki

  Department of Surgery, Hakodate Red Cross Hospital

• KAMADA Tsuyoshi

  Department of Surgery, Hakodate Red Cross Hospital

• KATOH Hiroyuki

  The Surgical Oncology, Division of Cancer Medicine, Hokkaido University Graduate School of Medicine

Bibliographic Information

Other Title

• 結腸の完全断裂をきたした成人Ｂｏｃｈｄａｌｅｋ孔ヘルニアの１例

Abstract

This paper describes an adult case of Bochdalek hernia causing rupture of the colon and gastric perforation which progressed to its termination. A 61-year-old woman, who had been pointed out having esophageal hiatal hernia several years before but had been asymptomatic, was admitted to the hospital because of epigastralgia, nausea and anorexia. A chest rentogenogram on admission showed a large abnormal gas with Niveau in the left pleural cavity. Magnetic resonance imaging (MRI), coronal and sagital T1-weighted images clearly demonstrated the discontinuity of the posterolateral aspect of the left diaphragm adjacent to herniation of the stomach into the left pleural cavity. Since left atelectasis progressed and rapid exacebation of inflammatory findings occurred, an emergency operation was performed on the 9th hospital day. At operation, the gastric body and an absolutely ruptured colon about 30cm in length protruded into the left pleural cavity. Preoperative MRI findings were well confirmed intraoperatively. Resection of the ruptured colon, direct suture closure of the hernia opening and stomach perforation, and transeverso-descending colonostomy were performed. However, the patient died of septic shock 40 days postoperatively.

Journal

• Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

  Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 62 (4), 929-933, 2001

  Japan Surgical Association

Keywords

• Bochdalek孔ヘルニア
• 脱出結腸断裂

Details

• CRID: 1390282679822791168
• NII Article ID: 130003602431
• NII Article ID: 10008389439
• NII Book ID: AA11189709
• DOI: 10.3919/jjsa.62.929
• ISSN: 18825133
• ISSN: 13452843
• ISSN: http://id.crossref.org/issn/13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/62/4/62_4_929/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2001215230
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed