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- W2335018506 abstract "We report a case of diaphragmatic hernia presenting with an obstruction of the small intestine, which oc-curred one month after a thoraco-lumbar compression fracture. A 76-year-old woman, with a ten-year history of steroid therapy for chronic arthritis, was admitted to the hospital for thoraco-lumbar compression fracture due to a tumble on a mat. After one month hospitalization, the symptoms of strangulated hernia occurred. Chest X-ray showed an intestional gas shadow and a pleural effusion in the left lung field. On laparotomy, there was a defect of 2cm in diameter at the central tendon around the esophageal hiatus. The small intestine escaped into the thoracic cavity through the defect with bloody pleural effusion. After the small intestine changed to the pinkish color, the defect of the diaphragm was repaired with interrupted sutures. Re-expansion pulmonary edema occurred 3 hours after the surgical repair, and was improved to re-inflate with positive pressure ventilation. It is important to pay attention to the possibility of diaphragmatic hernia designated as the late phase in the patient with blunt injury." @default.
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- W2335018506 date "1999-01-01" @default.
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- W2335018506 title "A CASE OF TRAUMATIC DIAPHRAGMATIC HERNIA DESIGNATED AS THE PHASE OF STRANGURATION PRESENTING 1 MONTH AFTER A BLUNT INJULY" @default.
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- W2335018506 doi "https://doi.org/10.3919/jjsa.60.74" @default.
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