Delayed intrathoracic herniation of the stomach with pleural empyema due to diaphragmatic stab wound.
A 32-year-old man received a left-sided thoracic stab wound, which was primarily treated with percutaneous tube thoracostomy. Ipsilateral empyema appeared 8 weeks later and subsequent investigations revealed herniation of the stomach through the diaphragm. The diaphragmatic rupture and a perforation in the gastric wall were repaired at thoracotomy. The literature on such wounds is reviewed.
Vento
A E
AE
Department of Cardiothoracic Surgery, Helsinki University Central Hospital, Finland.
Heikkilä
L
L
Perhoniemi
V
V
Salo
J A
JA
D000328:Adult; D003964:Diaphragm / Q000293:injuries*; D016724:Empyema, Pleural / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006549:Hernia, Diaphragmatic, Traumatic / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D013270:Stomach; D013907:Thoracostomy; D013908:Thoracotomy; D014951:Wounds, Stab / Q000150:complications / Q000601:surgery*