右外傷性横隔膜ヘルニアに対するMDCT多断面再構成法の有用性

Blunt traumatic rupture of the right diaphragm is very rare, and the subsequent development of diaphragmatic hernia is a serious complication. We herein report two cases of right diaphragmatic injury diagnosed by plain chest X-ray and multiplanar reformation of multi-detector law computed tomography...

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Published inJournal of the Japanese Association for the Surgery of Trauma Vol. 32; no. 4; pp. 417 - 421
Main Authors 北川, 雄一郎, 吉田, 隆浩, 小倉, 真治, 田中, 義人, 名知, 祥, 加藤, 久晶, 中野, 志保, 白井, 邦博, 豊田, 泉
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本外傷学会 20.10.2018
The Japanese Association for the Surgery of Trauma
Subjects
diagnostic imaging
multiplanar reformation
right diaphragmatic rupture
右横隔膜損傷
多断面再構成法
画像診断
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ISSN1340-6264
2188-0190
DOI10.11382/jjast.32.417

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Summary:Blunt traumatic rupture of the right diaphragm is very rare, and the subsequent development of diaphragmatic hernia is a serious complication. We herein report two cases of right diaphragmatic injury diagnosed by plain chest X-ray and multiplanar reformation of multi-detector law computed tomography (MPR-MDCT). We performed transthoracic repair of the diaphragm, and the post-operative course was uneventful in both cases. MPR-MDCT was useful for the diagnosis of right diaphragmatic injury. 　鈍的外傷による右横隔膜損傷の発生頻度はまれであるが, 外傷性横隔膜ヘルニアを合併するとより重篤な病態に陥る. 今回, 胸部レントゲン検査とマルチスライスCTの多断面再構成法により確定診断を得た右外傷性横隔膜ヘルニアの２例を経験した. いずれも開胸手術により損傷した横隔膜を修復し, 術後経過は良好であった. マルチスライスCTの多断面再構成法は右横隔膜損傷の診断に有用であった.
ISSN:1340-6264
2188-0190
DOI:10.11382/jjast.32.417