68岁的戴大爷,不明诱因脐周疼痛,伴恶心呕吐数次,呕吐物为胃内容物。在当地医院疑为结肠肿瘤,行结肠镜检时突然出现胸腹部疼痛伴呼吸困难,X线检查诊断为左侧液气胸,予以胸腔闭式引流。术后病情未见好转,且伴有肛门停止排气、排便,发热……遂送至上级医院进一步诊治。追问病史得知其3年前有过胸腹部外伤并左侧多发性肋骨骨折史,CT检查考虑为左侧膈疝, 68-year-old Dai uncle, unknown inducement of umbilical pain, with nausea and vomiting several times, vomit for the stomach contents. In the local hospital suspected of colon cancer, colonoscopy at the time of sudden chest and abdomen pain with dyspnea, X-ray diagnosis of the left liquid pneumothorax, to thoracic closed drainage. Postoperative condition did not improve, and accompanied by anus to stop the exhaust, defecation, fever ... ... then sent to the higher hospital for further diagnosis and treatment. Asked the medical history that had three years ago had chest and abdomen trauma and multiple left rib fractures history, CT examination for the left diaphragmatic hernia,