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Non-traumatic Bochdalek's Diaphragmatic Hernia in an Adult

成人的非傷創性橫隔膜疝氣

摘要


橫隔膜疝氣是先天性疾病,成人中是少見。有呼吸和腸胃症狀或沒有,都要用胸部X光來診斷。我們這個案是一位成人,因肚子痛和反重性嘔吐,偶然在胸部X光上發現左橫隔膜上升,以腹部電腦斷層協助診斷後手術治療。

並列摘要


Diaphragmatic hernias are rare in adults and those discovered in children are generally congenital. It is diagnosed by radiography of the chest in an asymptomatic person or in a person with respiratory and/or gastrointestinal symptoms. We report a rare case of adult onset Bochdalek's hernia where the patient visited our hospital with upper abdominal pain and severe vomiting. Diagnosis was established by plain chest radiography and abdominal computed tomography. A dorsolateral defect on left side of diaphragm was corrected using a prolene mesh via an abdominal approach.

延伸閱讀


  • Lee, W. J., & Yen, C. S. (2009). 外傷性腹壁疝氣. 中華民國急救加護醫學會雜誌, 20(2), 105-106. https://doi.org/10.30018/JECCM.200906.0007
  • Chou, D. W., & Jao, Y. T. F. N. (2013). 橫膈膜裂孔疝氣. 中華民國急救加護醫學會雜誌, 24(1), 35-36. https://www.airitilibrary.com/Article/Detail?DocID=10232214-201303-201307010015-201307010015-35-36
  • 季大爲、李三剛、余昌遗(1981)。外傷性橫膈疝氣中華放射線醫學雜誌6(4),344-351。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198112-6-4-344-351-a
  • 許瑋倫、李宏昌(2012)。復發之橫膈裂孔疝氣當代醫學(464),431-434。https://doi.org/10.29941/MT.201206.0010
  • 齊燕斌、魏華儀(1995)。成人腹股溝疝氣無張力修手術Journal of Medical Sciences16(2),138-143。https://www.airitilibrary.com/Article/Detail?DocID=10114564-199510-201306210003-201306210003-138-143