[A case of strangulated congenital diaphragmatic hernia with necrosis and rupture of the colon and herniation into a left hemithorax in an adult (author's transl)].
This is a case report of a successful repair of congenital diaphragmatic hernia in a 48 years old male that contained the transverse colon which was strangulated and ruptured in the left thoracic cavity. It was approached in two stages. First through a laparotomy the proximal part of the transverse colon was divided. The side going to the hernial sac was sutured and the proximal stump was anastomosed to the descending colon. In a second stage, two days later, through a felt thoracotomy the strangulated and ruptured colon was resected and the distal stump of the transverse colon was sutured and the hernia repaired.
D003106:Colon / Q000473:pathology; D003108:Colonic Diseases / Q000209:etiology*; D006548:Hernia, Diaphragmatic / Q000150:complications*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D012422:Rupture, Spontaneous
Etranglement de hernie diaphragmatique congénitale chez l'adulte, avec nécrose et rupture du côlon hernié dans l'hémithorax gauche. A propos d'un cas.