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KMID : 0383419680090040531
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Korean Modern Medical Journal
1968 Volume.9 No. 4 p.531 ~ p.534
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Traumatic Diaphragmatic Hernia
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朴永寬/Park, Young Kwahn
李榮根/徐景弼/李寧均/Lee, Young Kun/Suh, Kyung Pill/Lee, Yung-Kyoon
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Abstract
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Two cases of traumatic diaphragmatic hernia were operated on in this department during the past 12 months period.
The. first case, a 14 years old girl, had laparotomy for intestinal perforation inflicted by traffic accident at another hospital.
After suturing the perforated jejunum, she was transferd to this hospital due to coincidental rupture of the left leaf of the diaphragm.
Prompt reposition and repair of the diaphragm was done utilizing transthoracic approach. The second case was a 26 years old man, who was admitted with severe abdominal pain and vomiting.
Two years ago he was stabbed with a knife in the left lower lateral chest wall. By chest P-A and barium enema study stomach and colon were noted in the left bemithorax.
A round defect, 3.5 cm in diameter, was found in the muscular portion of the left diaphragm, which was repaired after reposition of the herniated abdominal viscera. Transthoracic approach was used in this case, too. Both cases were discharged after uneventful recovery.
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