■死亡是,根据定义,增加腹部压力的情况。然而,通过腹部边界的弱点,它与腹部内容物的突出没有明确联系。
方法:在这里,我们提供了一个病例报告,其中发现腹部内容物突出的唯一触发因素是胸骨发作。病人到我院时诊断为经膈肋间疝,在CT扫描中证明。他是,然后,接受紧急手术,通过开胸手术和肋下剖腹手术,疝气含量减少。患者有良好的进化。
■TDIH是一种罕见的实体,对于其管理仍未达成共识。这使得临床实践更具挑战性,留给外科医生为每个患者量身定制的治疗决定。
结论:该实体应进一步研究,并就其管理达成共识。
UNASSIGNED: Sternutation is, by definition, a situation that increases abdominal pressure. However, it has not been clearly linked to protrusion of abdominal content through weaknesses in the abdominal boundaries.
METHODS: Here we present a case report in which the only trigger factor found for an abdominal content protrusion was a sternutation episode. The patient arrived in our institution with the diagnosis of a transdiaphragmatic intercostal hernia, proven in CT-scan. He was, then, submitted to emergent surgery, where through thoracotomy and subcostal laparotomy, hernia content was reduced. The patient had a favorable evolution.
UNASSIGNED: TDIH is a rare entity, for which there are still no consensus regarding its management. This makes clinical practice more challenging, leaving to the surgeon the therapeutic decision tailored to each patient.
CONCLUSIONS: This entity should be further studied, and consensus reached regarding its management.