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Strangulated diaphragmatic hernia presenting clinically as pericarditis

Strangulated diaphragmatic hernia presenting clinically as pericarditis
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摘要 A case of strangulation of the transverse colon in a traumatic left diaphragmatic hernia manifesting as pericarditis is reported. This is unusual because pericardial signs in traumatic diaphragmatic hernia have been previously described in association with direct pericardial injury. This is the only such case where electrocardiographic changes of pericarditis were seen without direct pericardial trauma. The possibility of internal herniation through a traumatic diaphragmatic hernia must be considered in patients with chest symptoms and a compatible history. A case of strangulation of the transverse colon in a traumatic left diaphragmatic hernia manifesting as pericarditis is reported. This is unusual because pericardial signs in traumatic diaphragmatic hernia have been previously described in association with direct pericardial injury. This is the only such case where electrocardiographic changes of pericarditis were seen without direct pericardial trauma. The possibility of internal herniation through a traumatic diaphragmatic hernia must be considered in patients with chest symptoms and a compatible history.
机构地区 Directorate of Surgery
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第9期1449-1450,共2页 世界胃肠病学杂志(英文版)
关键词 Strangulated colon Diaphragmatic hernia PERICARDITIS Diaphragmatic injury 膈疝 结肠绞窄 临床表现 心包炎 病例分析
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参考文献4

  • 1[1]Brown GL,Richardson JD.Traumatic diaphragmatic hernia:a continuing challenge.Ann Thorac Surg 1985; 39:170-173
  • 2[2]Beauchamp G,Khalfallah A,Girard R,Dube S,Laurendeau F,Legros G.Blunt diaphragmatic rupture.Am J Surg 1984; 148:292-295
  • 3[3]Aldhoheyan A,Jain SK,Hamdy M,Alsebayel MJ.Traumatic intrapericardial diaphragmatic hernia.Injury 1992; 23:331-332
  • 4[4]Girzadas DV Jr,Fligner DJ.Delayed traumatic intrapericardial diaphragmatic hernia associated with cardiac tamponade.Ann Emerg Med 1991; 20:1246-1247

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