[Intrathoracic perforation of the gastric fundus as a late complication of an unknown post-traumatic rupture of the diaphragm].
The Authors report a case of gastric perforation into the left pleural cavity due to the herniation of the gastric fundus into the thorax in a patient who suffered from a thoraco-abdominal trauma four months before. A few physiopathological aspects of post-traumatic rupture of the diaphragm with a delayed presentation are discussed. Clinical and radiological typical elements of the chronic undiscovered diaphragmatic herniation are underlined and the events related to the complications (strangulation, perforation) are described. Finally, a few therapeutical principles are discussed.
Azienda Ospedaliera Ospedale S. Martino, Genova.
G
G
Leoncini
L
L
Iurilli
P
P
Lupi
U
U
Catrambone
D000328:Adult; D003964:Diaphragm / Q000293:injuries* / Q000601:surgery; D005748:Gastric Fundus; D006549:Hernia, Diaphragmatic, Traumatic / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D013272:Stomach Diseases / Q000209:etiology / Q000601:surgery