転倒による肋骨骨折で発症した外傷性横隔膜ヘルニアの1例

Traumatic Diaphragmatic Hernia due to Rib Fracture Caused by a Tumble：Report of a Case

はじめに　鈍的外傷に合併する外傷性横隔膜ヘルニアは交通外傷や転落などの高エネルギー外傷に伴うことが多く，転倒による発症はまれである．われわれは，転倒による肋骨骨折で発症した外傷性横隔膜ヘルニアを経験したため報告する．

A 63-year-old female was admitted to our hospital on the fifth day after a tumble. Computed tomography showed multiple rib fractures, massive hemothorax and diaphragmatic hernia in the left side of the chest and the emergency operation was performed. About 20 mm sized omental diaphragmatic hernia was found and repaired with direct suture. The hernia was thought to be caused by fractured rib. The postoperative course was uneventful, and the patient was discharged on the 11th day after the operation.