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  • Subakutna manifestacija spontanega pretrganja trebušne prepone : predstavitev primera = Subacute presentation of spontaneous diaphragmal rupture : case report
    Hermann, Dejan ; Srpčič, Matevž ; Bitenc, Marko, 1961-
    Background. Diaphragmatic injuries are relatively rare and present with non specific symptoms and signs. Late discoveries are almost a rule in all but themost evident cases. Many patients are ... observed or even treated for suspected other conditions, most often musculosceletal disorders. Patients andmethods. We report a case of a 14-year-old boy who presented with left lumbar pain and developed peritonitis six days after strenuous training. A chest X-ray revealed abdominal viscera in the left hemithorax. A large posterolateral rupture of the left diaphragm was found at laparotomy together with herniation of the stomach, spleen and colon. The stomach was perforated and partialy necrotic. After partial gastrectomy, repositioning and diaphragmal repair the patient recovered well. Conclusions. If pain in toracoabdominal region is a predominant sign after trauma or endogenous strain, one should consider the posibility of ruptured diaphragm and make a chest X-ray. Operation of diaphragmal hernia is necessary and garanties good results when treated on time.
    Source: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Letn. 74, št. 7/8, jul.-avg. 2005, str. 439-441)
    Type of material - article, component part
    Publish date - 2005
    Language - slovenian
    COBISS.SI-ID - 20213209

    Link(s):

    Digitalna knjižnica Slovenije - dLib.si

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