[A case of traumatic right diaphragmatic hernia].
A 65-year-old female was sent to our hospital by ambulance car after being struck by a car. Chest X-ray showed a elevation of the right diaphragm. Computed tomography and liver scintigram revealed herniation of the liver into the right thorax. As the blood gas analysis was in normal range and cerebral contusion coexisted, she was observed without operation. During 5 year after the injury, the hernia was gradually progressive and dyspnea appeared finally. She was readmitted to the hospital and operated upon through thoraco-abdominal approach. There are no report of spontaneous cure of the hernia. When traumatic diaphragmatic hernia is diagnosed, an operation consistent with the patient's general condition should be performed at that time.
Nakao
S
S
Department of Surgery, Japanese Red Cross Nagasaki Atomic Bomb Hospital, Japan.
Takahashi
N
N
Hirata
K
K
Touchika
H
H
Ishii
T
T
Eida
K
K
D000063:Accidents, Traffic; D000368:Aged; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D013997:Time Factors