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Rev Gastroenterol Mex ; 62(4): 281-3, 1997.
Artigo em Espanhol | MEDLINE | ID: mdl-9528297

RESUMO

OBJECTIVE: To inform a patient with penetrating thoracic trauma and diaphragm injury that produced stomach herniation, being reduced the hernia and repaired the injury by laparoscopy though abdominal route with excellent result. REPORT: 17-years-old male, hemodynamically stable with penetrating injury in the fifth left intercostal space, at the level of the middle auxiliary line, pneumothorax and left diaphragmatic hernia. Treatment. A pleurostomy tube was inserted. By laparoscopy 600 mL of free blood in abdominal cavity were aspired, the stomach hernia was reduced and the diaphragmatic repair was performed with nylon 3-0 running suture. The evolution was excellent, being integrated to his work at the twentieth postoperative day. COMMENTARY: Our case supports that laparoscopic surgery is at therapeutic alternative in select cases of trauma.


Assuntos
Hérnia Diafragmática Traumática/cirurgia , Laparoscopia , Traumatismos Torácicos/complicações , Ferimentos Penetrantes/complicações , Adolescente , Emergências , Seguimentos , Hérnia Diafragmática Traumática/diagnóstico por imagem , Hérnia Diafragmática Traumática/etiologia , Humanos , Masculino , Radiografia Torácica , Traumatismos Torácicos/diagnóstico por imagem , Fatores de Tempo , Ferimentos Penetrantes/diagnóstico por imagem
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