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外傷性橫隔膜脫腸

Traumatic Diaphragmatic Hernia

대한외과학회지 1969년 11권 12호 p.813 ~ 818
尹承植, 成基浩, 李華永,
소속 상세정보
尹承植 (  ) - 韓一病院 一般外科
成基浩 (  ) - 韓一病院 一般外科
李華永 (  ) - 韓一病院 一般外科

Abstract


A case of traumatic diaphragmatic hernia associated with stomach volvulus, treated surgically, is reported.
The patient, 26 years old male, received a stab wound on the left lower chest, and complained of chest pain, dyspnea and epigastric discomfort with occational dry cough. Prior to admission to our hospital, the patient had been treated with an erroneous diagnosis of left hemothorax at the other clinic.
The patient underwent thoracotomy through 7th intercostal space on 23rd days after the injury, and left diaphragmatic defect of about 8cm in length was closed with two layers of interrupted silk sutures.
Postoperative course was uneventful.
Various stages for clinical discovery of the disease and pertinent chest X-ray as well as physical findings for helping to make the diagnosis were briefly discussed together with a limitted review of the medical literatures on the subject.

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