title: Transdiaphragmatic intercostal hernia following blunt trauma.
abstract: We report a rare case of traumatic transdiaphragmatic intercostal hernia (TDIH) in an 85-year-old women who was transported to our hospital by ambulance after blunt trauma caused by the involvement in a motor vehicle accident. Chest and abdominal computed tomography (CT) revealed a left diaphragmatic rupture with a chest wall hernia involving loops of small intestine. An emergency operation was performed and led to a diagnosis of TDIH. Surgery via a thoracoabdominal incision in the left side was performed to reduce the hernia contents, and the diaphragmatic and intercostal defects were reconstructed by direct suture. CT scans were very helpful in detecting TDIH in this case.
authors.affiliation: Department of Surgery, Ibaraki Seinan Medical Center Hospital, Ibaraki, Japan. ydnw526@yahoo.co.jp
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yodonawa
authors.forename: Keisuke
authors.initials: K
authors.lastname: Kobayashi
authors.forename: Susumu
authors.initials: S
authors.lastname: Yoshida
authors.forename: Isao
authors.initials: I
authors.lastname: Ogawa
authors.forename: Hiromichi
authors.initials: H
authors.lastname: Ito
authors.forename: Akinori
authors.initials: A
authors.lastname: Kato
authors.forename: Ryoko
authors.initials: R
authors.lastname: Kubokawa
authors.forename: Emika
authors.initials: E
authors.lastname: Tokoshima
mesh_terms: D000063:Accidents, Traffic; D000369:Aged, 80 and over; D005260:Female; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D059685:Herniorrhaphy; D006801:Humans; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery