title: [Thoracoscopic repair of diaphragmatic eventration sustained at knife injury: a case report].
abstract: A 46-year-old male taxi driver was stabbed onto the left chest while on duty. On arrival soon after, he was hemodynamically stable. Computed tomography showed omental prolapse into the left thorax through the diaphragm. On the 11th day, he underwent thoracoscopy revealing omental prolapse via a 3-cm rent in the left diaphragm, which was reduced manually. The diaphragmatic orifice was lifted and debrided with suturing using a stapling cutter. The post-operative course was uneventful. Finger palpation through the orifice enabled safe suturing of the left diaphragm facing the omentum, the colon, and the stomach, all of which may suffer iatrogenic injury.
authors.affiliation: Division of General Thoracic Surgery, Shimonoseki City Hospital, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Yoshida
authors.forename: T
authors.initials: T
authors.lastname: Iwai
authors.forename: E
authors.initials: E
authors.lastname: Koike
authors.forename: M
authors.initials: M
authors.lastname: Akao
authors.forename: H
authors.initials: H
authors.lastname: Shimura
mesh_terms: D004724:Endoscopy / Q000379:methods*; D006549:Hernia, Diaphragmatic, Traumatic / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010173:Palpation; D013536:Suture Techniques; D013898:Thoracic Injuries / Q000150:complications*; D013906:Thoracoscopy; D014743:Videotape Recording; D014951:Wounds, Stab / Q000150:complications*