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Korean J Crit Care Med > Volume 25(3); 2010 > Article
Korean Journal of Critical Care Medicine 2010;25(3): 199-202. doi: https://doi.org/10.4266/kjccm.2010.25.3.199
36년 만에 발견된 만성 외상성 횡격막 탈장 -증례 보고-
36년 만에 발견된 만성 외상성 횡격막 탈장 -증례 보고-
A Chronic Traumatic Diaphragmatic Hernia Presenting 36 Years after Preceding Injury: A Case Report
Kyung Hwa Kim, Ja Hong Kuh, Tae Yoon Kim
Department of Cardio Thoracic and Vascular Surgery, Chonbuk National University Medical School, Jeonju, Korea. jhkuh@cuh.co.kr
We report a distinctive case of a large traumatic diaphragmatic hernia (TDH) that presented 36-years after the preceding injury. We believe this case represents the most delayed (TDH) presentation ever reported in Korea. This paper describes the particular presentation, including the operative and postoperative management of this patient. We also review the management of long delayed TDH presentation and the postoperative issues concerning thoracic cavity dead space and propensity of the repaired diaphragm for developing abdominal compartment syndrome.
Key Words: diaphragm; hernia; traumatic
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