- 期刊
Paraesophageal Hernia Complicated with Mediastinal Abscess: Report of a Case
傍食道橫膈膜裂孔疝氣併發縱膈腔膿瘍：一病例報告
摘要
傍食道橫膈膜裂孔疝氣是一種不常見的橫膈膜裂孔疝氣，但若不及時接受治療，其中約有30%會發生致命性的併發症。在此我們報告一位傍食道橫膈膜裂孔疝氣的病患，合併有縱膈腔膿瘍的併發症。此病患接受了一系列的檢查，包括胸部X光、上消化道攝影、電腦斷層及胃鏡。並進一步接受手術的治療，避免了更嚴重的併發症。手術後追蹤一年多，並沒有復發的情形發生。
並列摘要
Paraesophageal hiatal hernia is an uncommon hiatal hernia which can lead to life-threatening complications, developing in approximately 30% of patients if left untreated. We described an extremely rare and previously undocumented case of paraesophageal hiatal hernia with complication of mediastinum abscess. The diagnosis was confirmed by chest X-ray, upper gastrointerstinal barium study, computed tomography (CT) scan and endoscopy. Prompt surgical intervention prevented further severe complications, and no recurrence was observed at one-year follow-up.
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