Ernia diaframmatica post-traumatica a diagnosi tardiva. Descrizione di un caso clinico


COD: 2000_05_595-598 Categorie: ,

M.G. Cristofaro, F. Lazzaro, D. Cafaro, R. Natale, P. Mauro, N. Savino, S. Musella

Ann. Ital. Chir., LXXI, 5, 2000

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Starting from the observation of a case of late diagnosed leftside hernia after traumatic rupture of diaphragma, the authors consider the increasing incidence of this patology during the years. The increased frequency of thoraco-abdominal traumas and the more sophisticated diagnostic tools, permit an earlier diagnosis nowadays. In our patient the diagnosis was made late on the basis of the standard x-ray of the thorax. The CT scan of the thorax and of the abdomen gave more informations. Left thoracotomy enabled a wide exposure of the herniated viscera; the breakthrough of the diaphragm was repaired by means of interrupted suture and it was necessary to apply two prostheses of synthetic material.