KMID : 0604020100250030199
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Korean Journal of Critical Care Medicine 2010 Volume.25 No. 3 p.199 ~ p.202
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A Chronic Traumatic Diaphragmatic Hernia Presenting 36 Years after Preceding Injury
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Kim Kyung-Hwa
Kuh Ja-Hong Kim Tae-Yun
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Abstract
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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.
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KEYWORD
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diaphragm, hernia, traumatic
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