Published in:
01-07-2012 | Case Report
Transdiaphragmatic intercostal hernia following blunt trauma
Authors:
Satoshi Yodonawa, Keisuke Kobayashi, Susumu Yoshida, Isao Ogawa, Hiromichi Ito, Akinori Kato, Ryoko Kubokawa, Emika Tokoshima
Published in:
General Thoracic and Cardiovascular Surgery
|
Issue 7/2012
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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.