Hérnia diafragmática traumática tardia complicada de perfuração intratorácica e quisto hemorrágico gástrico: Uma combinação rara.
| Autor: | Ana Alves Rafael, Patrícia Rodrigues, Leonor do Carmo, Carlos Nascimento, Juliano Machado, J Rosado da Fonseca |
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| Jazyk: | English<br />Portuguese |
| Rok vydání: | 2005 |
| Předmět: | |
| Zdroj: | Acta Médica Portuguesa, Vol 18, Iss 4 (2005) |
| Druh dokumentu: | article |
| ISSN: | 0870-399X 1646-0758 |
| DOI: | 10.20344/amp.1030 |
| Popis: | The authors describe the clinical and imagiologic challenges faced at the Emergency Room while observing a 48-year-old woman, submitted to a Nissen fundoplication 16 months earlier. She presented herself with a one-month total progressive dysphagia, epigastric pain and regurgitation. Intraoperative findings demonstrated an intraabdominal fundoplication, closure of diaphragmatic crura and part of the gastric greater curvature and body herniated through a small posterior defect on the diaphragm, with a gigantic serosal cystic mass and associated perforation. Data from posterior clinical investigation shows a traffic accident 34 years ago. Although described before, the association of late traumatic diaphragmatic hernia and gastric intrathoracic perforation is rare (< 2.5%) and difficult to diagnose. A revision of the literature is performed concerning the pathophysiologic mechanisms of late diaphragmatic rupture, its clinical presentation and diagnosis, as for Nissen fundoplication complications, its prevention and management. |
| Databáze: | Directory of Open Access Journals |
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