Citation

Yodonawa S, Kobayashi K, Yoshida S, Ogawa I, Ito H, Kato A, Kubokawa R, Tokoshima E. Gen. Thorac Cardiovasc. Surg. 2012; 60(7): 459-461.

Affiliation

Department of Surgery, Ibaraki Seinan Medical Center Hospital, 2190 Sakai-machi, Sashima-gun, Ibaraki, Japan, ydnw526@yahoo.co.jp.

Copyright

(Copyright © 2012, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s11748-012-0020-8

PMID

22544425

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.

Language: en