지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
A traumatic diaphragmatic hernia is a rare combined problem involving injuries to the thorax and abdomen that may not be diagnosed at the time of injury. Surgical management is mandatory when the patient displays any signs of bowel strangulation due to the herniation because a herniated bowel has a very high risk of necrosis or perforation. Four patients were diagnosed with delayed traumatic diaphragmatic hernia 14 to 96 months after injury. In two patients, the diaphragmatic injury was missed at the time of injury. Reduction and diaphragm repair surgery were performed. One diaphragm was repaired with artificial mesh. Traumatic diaphragmatic injury is caused by a blunt or penetrating injury to the abdomen or thorax. After migration of the intra-abdominal contents into the chest, a narrow herniation defect can disturb the bowel circulation and passage of bowel contents. Early detection and reduction, and repair surgery are mandatory for patients with a delayed presentation of complicated traumatic diaphragmatic hernia. Any patient with injury around the thorax or upper abdomen should be examined carefully considering the possibility of diaphragmatic hernia. Even if diaphragmatic injuries are not found in the initial evaluation, a radiology examination in a short period of time can correct the missed diagnosis of traumatic diaphragmatic hernia.
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Morgan BS / 2010 / Traumatic diaphragmatic injury / J R Army Med Corps 156:139~144
Kozak O / 2008 / Late presentation of blunt right diaphragmatic rupture(hepatic hernia) / Am J Emerg Med 26:638.e3~638.e-5
Beigi AA / 2010 / Prognostic factors and outcome of traumatic diaphragmatic rupture / Ulus Travma Acil Cerrahi Derg 16:215~219
Marchand P / 1957 / A study of the forces productive of gastrooesophageal regurgitation and herniation through the diaphragmatic hiatus / Thorax 12:189~202
Shah R / 1995 / Traumatic rupture of diaphragm / Ann Thorac Surg 60:1444~1449
Kozak O / 2008 / Late presentation of blunt right diaphragmatic rupture(hepatic hernia) / Am J Emerg Med 26:638.e3~638.e-5
Beigi AA / 2010 / Prognostic factors and outcome of traumatic diaphragmatic rupture / Ulus Travma Acil Cerrahi Derg 16:215~219
Marchand P / 1957 / A study of the forces productive of gastrooesophageal regurgitation and herniation through the diaphragmatic hiatus / Thorax 12:189~202
Shah R / 1995 / Traumatic rupture of diaphragm / Ann Thorac Surg 60:1444~1449
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