Muys, Bonnet,
Blancard, Schenck, Sennert, Fantoni, and Godefroy record
instances in which, after rupture of the diaphragm, the viscera
have been found in the thorax; there are many modern cases on
record. Internal hernia through the diaphragm is mentioned by
Cooper, Bowles, Fothergill, Monro, Ballonius, Derrecagiax, and
Schmidt. Sir Astley Cooper mentioned a case of hernia ventriculi
from external violence, wherein the diaphragm was lacerated
without any fracture of the ribs. The man was aged twenty-seven,
and being an outside passenger on a coach (and also intoxicated),
when it broke down he was projected some distance, striking the
ground with considerable force. He died on the next day, and the
diagnosis was verified at the necropsy, the opening in the
diaphragm causing stricture of the bowel.
Postempski successfully treated a wound of the diaphragm
complicated with a wound of the omentum, which protruded between
the external opening between the 10th and 11th ribs; he enlarged
the wound, forced the ribs apart, ligated and cut off part of the
omentum, returned its stump to the abdomen, and finally closed
both the wound in the diaphragm and the external wound with
sutures. Quoted by Ashhurst, Hunter recorded a case of gunshot
wound, in which, after penetrating the stomach, bowels, and
diaphragm the ball lodged in the thoracic cavity, causing no
difficulty in breathing until shortly before death, and even then
the dyspnea was mechanical--from gaseous distention of the
intestines.
Pages:
1208
1209
1210
1211
1212
1213
1214
1215
1216
1217
1218
1219
1220
1221
1222
1223
1224
1225
1226
1227
1228
1229
1230
1231
1232