A case of traumatic diaphragmatic herniation which caused tension hemothorax due to splenic injury resulting from stab wound of the back.

概要

論文の詳細を見る
We reported a case of traumatic diaphragmatic herniation which caused tension hemothorax due to splenic injury resulting from a stab wound of the back without intraabdominal bleeding. A 20-year-old male was admitted to our hospital for the treatment for left hemothorax resulting from stab wounds of the back. On admission, he was in a pre-shock state because of tension hemothorax, and we performed emergency operation. After left thoracotomy, we found about 3, 000m<I>l</I> blood in his left thoracic cavity. The source of bleeding was the spleen which herniated from a fissure of the diaphragmatic injury resulting from the stab wound by a piece of broken glass. No intraabdominal bleeding was found. We performed splenectomy and sutured the fissure of the diaphragmatic injury. His post-operative course was uneventful.
特定非営利活動法人日本呼吸器外科学会の論文