급성 흉수처럼 보인 횡격막 탈장 1예
A Case of Diaphragmatic Hernia Mimicking Acute Pleural Effusion
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Diaphragmatic hernia may be either congenital or acquired. Acquired cases may be secondary to trauma, infection, pregnancy, orsurgery. In adults, diaphragmatic hernia causes chronic and variable symptoms such as abdominal discomfort, dyspepsia, andchronic dyspnea; in infants, however, it frequently causes acute respiratory failure. We report herein a case of diaphragmatic herniain an adult patient who presented with left chest pain. Left pleural effusion was revealed on a plain chest radiograph. Computedtomography confirmed the presence of a diaphragmatic defect and a shift of the omentum to the thoracic cavity. The patientunderwent omental resection and primary repair of the diaphragmatic muscle defect via exploratory thoracotomy
Abstract
Diaphragmatic hernia may be either congenital or acquired. Acquired cases may be secondary to trauma, infection, pregnancy, orsurgery. In adults, diaphragmatic hernia causes chronic and variable symptoms such as abdominal discomfort, dyspepsia, andchronic dyspnea; in infants, however, it frequently causes acute respiratory failure. We report herein a case of diaphragmatic herniain an adult patient who presented with left chest pain. Left pleural effusion was revealed on a plain chest radiograph. Computedtomography confirmed the presence of a diaphragmatic defect and a shift of the omentum to the thoracic cavity. The patientunderwent omental resection and primary repair of the diaphragmatic muscle defect via exploratory thoracotomy
참고문헌 (6)
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