- 期刊
Thoracoscopic Diagnosis of Right-sided Bochdalek Hernia in an Adult with Traumatic Injury
胸腔鏡診斷右側橫膈疝氣疑似創傷性橫膈破裂－病例報告
摘要
49歲女性病患，因車禍而來急診就診。胸部X光影像及胸部電腦斷層影像疑似橫膈破裂及肝疝氣。因無法確定診斷，病人接受了診斷性胸腔鏡手術。手術發現右側橫膈Bochdalek疝氣及部分肝臟疝氣，沒有發現其他腹部器官疝氣。術後病人恢復良好，目前持續追蹤中。成人右側橫膈Bochdalek疝氣疑似創傷性橫膈疝氣由微創性胸腔鏡是很好的診斷工具。
並列摘要
A 49-year-old woman was injured in a motor vehicle accident. Rupture of the right diaphragm and liver herniation were suspected from the chest radiography and computed tomographic scan. However, due to the lack of a definite diagnosis, a diagnostic thoracoscopy was performed which revealed a right-sided Bochdalek hernia with partial liver herniation. A normally developed liver and no herniation of the abdominal viscera were also noted. The patient had an uneventful recovery after the operation and maintained regular follow-up after discharge. Right-sided Bochdalek hernia in an adult could be mimicked by traumatic diaphragm rupture. The diagnosis can be confirmed by means of minimally invasive thoracoscopy which is a good diagnostic tool.
延伸閱讀
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