[High obstruction in strangulated diaphragmatic hernia].
Case report of a 57-year-old man, admitted in emergency, because of high occlusion and severe dyspnea. The physical examination and the imagistics explorations established the diagnostic of strangulated left diaphragmatic hernia. After a short re-equilibration, the surgical approach was made by left thoracophrenolaparotomy and on realize the visceral reduction, the treatment of visceral injuries and the plasty of the pretty high diaphragmatic defect with a nylon mesh. The postoperative evolution was difficult, with hemorrhagic gastropathy, blocked evisceration, pneumonia and left pleural empyema. The control at 10 months show a patient appearing very well, with a voluminous eventration (who need surgical treatment) with normal image on the chest radiography, left hemidiaphragm in normal position and immobile, the gastrointestinal tract sitting intraabdominal, without parietal injuries.
Angelescu
N
N
Clinica Chirugicală Colţea, Bucureşti.
Jitea
N
N
Bordea
A
A
Voiculescu
S
S
Vlădăreanu
M
M
Mircea
N
N
Serban
D
D
D004630:Emergencies; D006547:Hernia / Q000175:diagnosis / Q000209:etiology; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D001261:Pulmonary Atelectasis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D013272:Stomach Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013526:Surgical Mesh