A Case of Delayed Incarcerated Traumatic Diaphragmatic Hernia

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  • 遅発性外傷性横隔膜ヘルニア嵌頓の1例

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Abstract

An 85-year-old man was admitted to our hospital because of abdominal pain, loss of appetite and vomiting. He had fallen from a bed 2 years previously and had suffered left costal fractures. Based on the CT findings, we diagnosed delayed incarceration of a traumatic diaphragmatic hernia, and performed an emergency operation on the same day. During surgery, a fissure in the left diaphragm about 3 cm in diameter was disclosed and the splenic flexure of colon and the omentum were incarcerated through this defect. We confirmed that the segment of the colon was ischemic and resected it. The defect of the diaphragm was sutured and a colostomy was performed. The patient had an uneventful postoperative course and was discharged from our hospital on the 28th postoperative day. We report on our experience on a rare case of delayed incarceration of a traumatic diaphragmatic hernia and its treatment, together with a review of the literature.

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