Spontaneous Diaphragmatic Hernia.
Autor: | Darocki MD; University of California San Diego, Department of Emergency Medicine, San Diego, California., Medak AJ; University of California San Diego, Department of Emergency Medicine, San Diego, California. |
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Jazyk: | angličtina |
Zdroj: | Clinical practice and cases in emergency medicine [Clin Pract Cases Emerg Med] 2018 Jul 16; Vol. 2 (3), pp. 244-246. Date of Electronic Publication: 2018 Jul 16 (Print Publication: 2018). |
DOI: | 10.5811/cpcem.2018.5.38587 |
Abstrakt: | A spontaneous diaphragmatic hernia (SDH) occurs when intra-abdominal contents extend into the thoracic cavity through a defect in the diaphragm after a sudden increase in intra-abdominal pressure. SDH is one of the rarest surgical emergencies with less than 30 reported cases in the literature.1,2 In our case a 94-year-old female presented to the emergency department in respiratory distress with unilateral breath sounds and was diagnosed with a SDH. The only treatment option for a SDH is surgical.3,11 However, nasogastric tube decompression of the gastrointestinal tract and supplemental oxygen can be used to alleviate symptoms until definitive operative management is performed. Competing Interests: Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none. |
Databáze: | MEDLINE |
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