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[PMID]:29390430
[Au] Autor:Xia B; Hong C; Tang J; Liu C; Yu G
[Ad] Endereço:Department of Maternal-Fetal Medicine, Guangdong Women and Children Hospital, Guangzhou, Guangdong, China.
[Ti] Título:Congenital diaphragmatic hernia in association with congenital short esophagus: A case report.
[So] Source:Medicine (Baltimore);96(51):e8996, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Congenital diaphragmatic hernia (CDH) associated congenital anomalies are present in about 25%. Congenital short esophagus (CSE) is a relatively rare condition. Both CDH and congenital intrathoracic stomach caused by CSE can be diagnosed in utero. However, CSE can be easily misdiagnosed in utero. PATIENT CONCERNS: We present a case of left CDH with CSE in a female neonate who was diagnosed at 24 weeks gestational age by antenatal ultrasound. DIAGNOSES: The neonate with CDH and congenital intrathoracic stomach due to CSE was confirmed by operation. Gastroesophageal reflux disease (GRED) occurred after operation. INTERVENTIONS: The left diaphragm was repaired, and gastric fixation by gastropexy, gastric folding anti-reflux procedure and operation of longitudinal incision and transverse suture for pyloroplasty procedure was underwent. Gastroesophageal reflux disease (GRED) occurred after operation and jejunal tube feeding was placed. OUTCOMES: This patient is currently alive 12 months post-operation with GRED. LESSONS: To our knowledge, this is the first documented case of this rare type of CDH combined with congenital intrathoracic stomach caused by CSE. This condition could not be surgically repaired due to the extremely short esophagus. Early recognition of intrathoracic stomach associated with CSE is important as it is associated with difficult management and significant postnatal complications. The prognosis is cautiously guarded, and the parents should be appropriately counseled.
[Mh] Termos MeSH primário: Doenças do Esôfago/diagnóstico
Esôfago/anormalidades
Hérnias Diafragmáticas Congênitas/diagnóstico
[Mh] Termos MeSH secundário: Anormalidades Múltiplas/diagnóstico
Anormalidades Múltiplas/diagnóstico por imagem
Anormalidades Múltiplas/cirurgia
Diagnóstico Diferencial
Doenças do Esôfago/diagnóstico por imagem
Doenças do Esôfago/cirurgia
Esôfago/cirurgia
Feminino
Hérnias Diafragmáticas Congênitas/diagnóstico por imagem
Hérnias Diafragmáticas Congênitas/cirurgia
Seres Humanos
Recém-Nascido
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008996


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[PMID]:29184050
[Au] Autor:Susmallian S; Raziel A
[Ad] Endereço:Department of Surgery, Assuta Medical Center, Tel Aviv, Israel.
[Ti] Título:A Rare Case of Bochdalek Hernia with Concomitant Para-Esophageal Hernia, Repaired Laparoscopically in an Octogenarian.
[So] Source:Am J Case Rep;18:1261-1265, 2017 Nov 29.
[Is] ISSN:1941-5923
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND A Bochdalek hernia (BH) is a rare congenital condition consisting of a posterolateral defect in the diaphragm. A para-esophageal hernia (PEH) is a rare variant of hiatus hernia. BH and PEH may present with gastric volvulus or incarceration, requiring emergency treatment. Minimally invasive surgery is the preferred treatment, particularly for elderly patients and patients with comorbidities. The occurrence of BH with concomitant PEH is a very rare event. We describe a case of an octogenarian patient with BH and concomitant PEH treated laparoscopically. CASE REPORT An 81-year-old male patient, without significant comorbidities, presented with a two-month history of severe chest pain and vomiting after eating. Cardiological investigations ruled out cardiac ischemia, infarction, or other cardiovascular abnormalities. Chest and abdominal computed tomography (CT) imaging demonstrated a large diaphragmatic hernia, with the entire stomach in the left thorax. Laboratory results showed mild anemia and a low iron level. The patient underwent simultaneous laparoscopic repair of a BH and a PEH with mesh reinforcement without antireflux fundoplication. The patient's postoperative recovery was uneventful. CONCLUSIONS We have presented a rare case of BH with concomitant PEH in an octogenarian that was successfully treated with laparoscopic surgery. Although these two forms of hernia are a very rare association, this case report illustrates that the surgical approach should be individualized in each patient's case to ensure a successful surgical outcome. In this case, the decision was made to suture the diaphragmatic crura and reinforce the diaphragm repair with mesh, rather than by fundoplication.
[Mh] Termos MeSH primário: Hérnia Hiatal/complicações
Hérnia Hiatal/cirurgia
Hérnias Diafragmáticas Congênitas/complicações
Hérnias Diafragmáticas Congênitas/cirurgia
Laparoscopia
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Hérnia Hiatal/diagnóstico por imagem
Hérnias Diafragmáticas Congênitas/diagnóstico por imagem
Seres Humanos
Masculino
Doenças Raras
Telas Cirúrgicas
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180109
[Lr] Data última revisão:
180109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE


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[PMID]:29246364
[Au] Autor:Gien J; Meyers ML; Kinsella JP
[Ad] Endereço:Department of Pediatrics, Section of Neonatology, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, CO. Electronic address: jason.gien@ucdenver.edu.
[Ti] Título:Assessment of Carina Position Antenatally and Postnatally in Infants with Congenital Diaphragmatic Hernia.
[So] Source:J Pediatr;192:93-98.e1, 2018 Jan.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine whether endotracheal tube (ETT) insertion depth should be modified in infants with congenital diaphragmatic hernia (CDH) to reduce the risk of main-stem intubation. STUDY DESIGN: The distance from the thoracic inlet to the carina was measured antenatally by fetal magnetic resonance imaging (MRI) between 20-28 weeks' (early) and 30-34 weeks' (late) gestation in 30 infants with CDH and compared with 12 early and 36 late MRIs in control infants without CDH. Postnatal tube position was assessed by chest radiograph in the same 30 infants with CDH and compared with 20 control infants with postnatal birth depression. RESULTS: The carina position was displaced upward in fetuses and newborns with CDH. Distance from the thoracic inlet to the carina compared with controls was 1.04 ± 0.1 cm vs 1.42 ± 0.07 cm on early MRI (P < .05), 1.43 ± 0.14 cm vs 1.9 ± 0.04 cm on late MRI (P < .01), and 2.36 ± 0.07 cm vs 3.28 ± 0.05 cm on postnatal radiographs (P < .01). Adjusting the ETT depth by 1 cm resulted in a median distance of 1.27 cm from the tip of the ETT to the carina. CONCLUSION: Cephalad displacement of the carina in infants with CDH may predispose them to right main-stem intubation and subsequent development of pneumothorax. We speculate that modifying the ETT insertion depth to 5.5 cm + weight in newborns born at term may prevent pneumothoraces and improve outcomes for infants with CDH.
[Mh] Termos MeSH primário: Hérnias Diafragmáticas Congênitas/diagnóstico por imagem
Imagem por Ressonância Magnética
Diagnóstico Pré-Natal
Traqueia/anormalidades
[Mh] Termos MeSH secundário: Estudos de Casos e Controles
Feminino
Hérnias Diafragmáticas Congênitas/embriologia
Hérnias Diafragmáticas Congênitas/patologia
Hérnias Diafragmáticas Congênitas/terapia
Seres Humanos
Recém-Nascido
Intubação Intratraqueal/métodos
Masculino
Gravidez
Traqueia/diagnóstico por imagem
Traqueia/embriologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171226
[Lr] Data última revisão:
171226
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171217
[St] Status:MEDLINE


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[PMID]:29255540
[Au] Autor:Ayane GN; Walsh M; Shifa J; Khutsafalo K
[Ad] Endereço:University of Botswana, Faculty of Medicine, Botwana.
[Ti] Título:Right congenital diaphragmatic hernia associated with abnormality of the liver in adult.
[So] Source:Pan Afr Med J;28:70, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:A Bochdalek hernia (BH) occurs when abdominal contents herniate through the postero-lateral segment of the diaphragm. The right side is affected considerably less commonly than the left. Most BHs present are diagnosed early in life, with some element of cardio-respiratory distress. Rarely, hernias that remain clinically silent until adulthood when they present as life-threatening surgical emergencies. We report a case 35 year old female who emergency exploratory laparotomy for a complete mechanical bowel obstruction. At surgery the redundant transverse colon was twisted and incarcerated within the right hemithorax, creating a closed loop obstruction. The right colon, appendix, terminal ilium, and three accessories right liver lobes were also dragged into the right thoracic cavity. After reducing the hernia, the diaphragmatic defect was primarily repaired with non-absorbable suture. The redundant transvers colon which had been compromised was resected and primary end-to- end anastomosis was carried out. Incidental appendectomy was done. The patient was sent into ICU for post-operative monitoring. She made an uneventful recovery and remains asymptomatic at nine month follow-up. I discuss what i believe to be the first case report of complicated right diaphragmatic hernia in Botswana, associated with another congenital mal-formation (accessories hepatic lobes, partial mal-rotation, and redundant transvers colon) in adult.
[Mh] Termos MeSH primário: Hérnias Diafragmáticas Congênitas/diagnóstico
Obstrução Intestinal/etiologia
Fígado/anormalidades
[Mh] Termos MeSH secundário: Adulto
Apendicectomia/métodos
Botsuana
Colo Transverso/anormalidades
Feminino
Seguimentos
Hérnias Diafragmáticas Congênitas/complicações
Seres Humanos
Obstrução Intestinal/cirurgia
Laparotomia/métodos
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171222
[Lr] Data última revisão:
171222
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171220
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.28.70.11249


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[PMID]:29229150
[Au] Autor:Shah M; Phillips MR; Quintana M; Stupp G; McLean SE
[Ad] Endereço:University of North Carolina, Chapel Hill, North Carolina.
[Ti] Título:Echocardiography allows for analysis of pulmonary arterial flow in mice with congenital diaphragmatic hernia.
[So] Source:J Surg Res;221:35-42, 2018 Jan.
[Is] ISSN:1095-8673
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Congenital diaphragmatic hernia (CDH) is a structural birth defect associated with pulmonary hypoplasia and pulmonary arterial hypertension (PAH). We hypothesize that echocardiography provides a method to assess real-time right ventricle (RV) function, remodeling, and pulmonary artery (PA) flow. MATERIALS AND METHODS: Slit3 wild-type (WT) (n = 6) and knockout (KO) (n = 5) mice were analyzed at 2-3 months of age. Mice were anesthetized using isoflurane. Echocardiography was performed to analyze left and right ventricular wall thickness, internal diameter (ID), and function. Color Doppler was used to analyze flow in the PA and across the tricuspid valve. RESULTS: There was significant RV dilation in the KO mice versus WT, with an average RVID of 1.99 mm versus 1.26 mm, respectively (P = 0.007). Flow in the PA of KO mice was altered compared to WT, with elevated PA velocity time indices, 30.68 mm versus 22.13 mm (P = 0.012), elevated PA peak velocities, 952.61 mm/s versus 628.73 mm/s (P = 0.003), and decreased pulmonary acceleration times, 8.94 ms versus 16.18 ms (P = 0.002), respectively. Pulmonary vascular resistance, calculated by measuring tricuspid regurgitation peak velocity and right ventricular outflow tract velocity time index, was increased in KO versus WT mice, 17.61 mm /s versus 8.91 mm /s (P = 0.003), respectively. CONCLUSIONS: Slit3 KO mice with CDH show evidence of PAH and resultant RV dilation. Using direct cardiac puncture, elevated RV systolic pressures have been demonstrated in KO mice as evidence of PAH. Echocardiography allows direct analysis of the PA and real-time RV function without sacrifice of the mouse. This mode of evaluation allows longitudinal study in mice with PAH and CDH.
[Mh] Termos MeSH primário: Ventrículos do Coração/diagnóstico por imagem
Hérnias Diafragmáticas Congênitas/diagnóstico por imagem
Hipertensão Pulmonar/diagnóstico por imagem
Artéria Pulmonar/diagnóstico por imagem
Circulação Pulmonar
[Mh] Termos MeSH secundário: Animais
Modelos Animais de Doenças
Ecocardiografia
Feminino
Ventrículos do Coração/fisiopatologia
Hérnias Diafragmáticas Congênitas/fisiopatologia
Masculino
Proteínas de Membrana/genética
Camundongos Knockout
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Membrane Proteins); 0 (Slit3 protein, mouse)
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171213
[St] Status:MEDLINE


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[PMID]:29069554
[Au] Autor:Klein J; Sirota M
[Ad] Endereço:Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA jklein0079@gmail.com.
[Ti] Título:Congenital Diaphragmatic Hernia.
[So] Source:N Engl J Med;377(17):e25, 2017 Oct 26.
[Is] ISSN:1533-4406
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Diafragma/diagnóstico por imagem
Hérnias Diafragmáticas Congênitas/diagnóstico por imagem
Radiografia Torácica
[Mh] Termos MeSH secundário: Feminino
Hérnias Diafragmáticas Congênitas/cirurgia
Seres Humanos
Recém-Nascido
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171026
[St] Status:MEDLINE
[do] DOI:10.1056/NEJMicm1701321


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[PMID]:28853592
[Au] Autor:Shwaartz C; Duggan E; Lee DS; Divino CM; Chin EH
[Ad] Endereço:Icahn School of Medicine at Mount Sinai , New York , US.
[Ti] Título:Diaphragmatic eventration presenting as a recurrent diaphragmatic hernia.
[So] Source:Ann R Coll Surg Engl;99(7):e196-e199, 2017 Sep.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Diaphragmatic eventration is an uncommon condition, usually discovered incidentally in asymptomatic patients. Even in symptomatic patients, the diagnosis can be challenging and should be considered among the differential diagnoses of diaphragmatic hernia. The correct diagnosis can often only be made in surgery. We describe the case of a 31-year-old patient with diaphragmatic eventration that was misdiagnosed as a recurrent congenital diaphragmatic hernia and review the corresponding literature.
[Mh] Termos MeSH primário: Eventração Diafragmática/diagnóstico
Hérnia Diafragmática/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Erros de Diagnóstico
Eventração Diafragmática/diagnóstico por imagem
Eventração Diafragmática/cirurgia
Hérnia Diafragmática/diagnóstico por imagem
Hérnias Diafragmáticas Congênitas/diagnóstico
Hérnias Diafragmáticas Congênitas/diagnóstico por imagem
Seres Humanos
Masculino
Radiografia
Recidiva
Tomografia Computadorizada por Raios X
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170913
[Lr] Data última revisão:
170913
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170831
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2016.0342


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[PMID]:28710247
[Au] Autor:Leeuwen L; Mous DS; van Rosmalen J; Olieman JF; Andriessen L; Gischler SJ; Joosten KFM; Wijnen RMH; Tibboel D; IJsselstijn H; Spoel M
[Ad] Endereço:Intensive Care and Department of Pediatric Surgery, Erasmus Medical Center-Sophia Children's Hospital, Rotterdam, Netherlands;and.
[Ti] Título:Congenital Diaphragmatic Hernia and Growth to 12 Years.
[So] Source:Pediatrics;140(2), 2017 Aug.
[Is] ISSN:1098-4275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Growth problems are reported in patients with congenital diaphragmatic hernia during the first years of life. However, it is unknown if poor growth persists during childhood. We therefore evaluated growth of patients longitudinally until 12 years of age. METHODS: This prospective study included 172 patients (43 treated with extracorporeal membrane oxygenation [ECMO]) born from 1999 to 2014. scores of height-for-age (HFA), weight-for-height, and distance-to-target height were calculated at 6 months of age and at 1, 2, 5, 8, and 12 years of age. Data were analyzed by using general linear models. RESULTS: At 1 year of age, the mean weight-for-height score had declined in ECMO (-1.30, 95% confidence interval: -1.62 to -0.97) and non-ECMO patients (-0.72, 95% confidence interval: -0.91 to -0.54; < .05). Thereafter in ECMO patients, the mean HFA score deteriorated between 1 (-0.43, 95% confidence interval: -0.73 to -0.13) and 5 years of age (-1.08, 95% confidence interval: -1.38 to -0.78; < .01). In non-ECMO patients, the mean HFA score deteriorated between 2 (-0.35, 95% confidence interval: -0.53 to -0.17) and 5 years of age (-0.56, 95% confidence interval: -0.75 to -0.37; = .002). At 12 years of age, the mean HFA score was still less than the norm in both groups: ECMO (-0.67, 95% confidence interval: -1.01 to -0.33) versus non-ECMO (-0.49, 95% confidence interval: -0.77 to -0.20; < .01). Adjusting for target height improved the mean height scores but did not bring them to normal range. CONCLUSIONS: Poor linear growth persisted at 12 years of age. The pattern of early deterioration of weight gain followed by a decline in linear growth is suggestive of inadequate nutrition during infancy. Therefore, nutritional assessment and intervention should be started early and should be continued during childhood.
[Mh] Termos MeSH primário: Transtornos do Crescimento/diagnóstico
Hérnias Diafragmáticas Congênitas/diagnóstico
[Mh] Termos MeSH secundário: Adolescente
Estatura
Peso Corporal
Criança
Pré-Escolar
Oxigenação por Membrana Extracorpórea
Feminino
Seguimentos
Seres Humanos
Lactente
Recém-Nascido
Modelos Lineares
Estudos Longitudinais
Masculino
Estudos Prospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170828
[Lr] Data última revisão:
170828
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170716
[St] Status:MEDLINE


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[PMID]:28669608
[Au] Autor:Schopper MA; Walkup LL; Tkach JA; Higano NS; Lim FY; Haberman B; Woods JC; Kingma PS
[Ad] Endereço:Section of Neonatology, Perinatal and Pulmonary Biology, The Perinatal Institute, Cincinnati, OH.
[Ti] Título:Evaluation of Neonatal Lung Volume Growth by Pulmonary Magnetic Resonance Imaging in Patients with Congenital Diaphragmatic Hernia.
[So] Source:J Pediatr;188:96-102.e1, 2017 Sep.
[Is] ISSN:1097-6833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate postnatal lung volume in infants with congenital diaphragmatic hernia (CDH) and determine if a compensatory increase in lung volume occurs during the postnatal period. STUDY DESIGN: Using a novel pulmonary magnetic resonance imaging method for imaging neonatal lungs, the postnatal lung volumes in infants with CDH were determined and compared with prenatal lung volumes obtained via late gestation magnetic resonance imaging. RESULTS: Infants with left-sided CDH (2 mild, 9 moderate, and 1 severe) were evaluated. The total lung volume increased in all infants, with the contralateral lung increasing faster than the ipsilateral lung (mean ± SD: 4.9 ± 3.0 mL/week vs 3.4 ± 2.1 mL/week, P = .005). In contrast to prenatal studies, the volume of lungs of infants with more severe CDH grew faster than the lungs of infants with more mild CDH (Spearman's ρ=-0.086, P = .01). Although the contralateral lung volume grew faster in both mild and moderate groups, the majority of total lung volume growth in moderate CDH came from increased volume of the ipsilateral lung (42% of total lung volume increase in the moderate group vs 32% of total lung volume increase in the mild group, P = .09). Analysis of multiple clinical variables suggests that increased weight gain was associated with increased compensatory ipsilateral lung volume growth (ρ = 0.57, P = .05). CONCLUSIONS: These results suggest a potential for postnatal catch-up growth in infants with pulmonary hypoplasia and suggest that weight gain may increase the volume growth of the more severely affected lung.
[Mh] Termos MeSH primário: Hérnias Diafragmáticas Congênitas/fisiopatologia
Pulmão/fisiopatologia
Imagem por Ressonância Magnética/métodos
[Mh] Termos MeSH secundário: Feminino
Idade Gestacional
Seres Humanos
Recém-Nascido
Pulmão/crescimento & desenvolvimento
Medidas de Volume Pulmonar/métodos
Masculino
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170704
[St] Status:MEDLINE


  10 / 3970 MEDLINE  
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[PMID]:28660829
[Au] Autor:Ekanayake E; Fernando SA; Durairajah PL; Jayasundara J
[Ad] Endereço:Base Hospital , Puttalam , Sri Lanka.
[Ti] Título:Incarcerated Bochdalek hernia causing bowel obstruction in an adult male patient.
[So] Source:Ann R Coll Surg Engl;99(6):e159-e161, 2017 Jul.
[Is] ISSN:1478-7083
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Bochdalek hernias occur as a result of congenital fusion failure of the posterolateral muscular portion of the diaphragm derived from the embryonic pleuroperitoneal membrane. The vast majority of symptomatic Bochdalek hernias are diagnosed during the neonatal period. Congenital diaphragmatic hernias showing symptoms in adulthood are rare. We report the case of a 28-year-old man who presented with subacute bowel obstruction, later diagnosed to have a left-sided incarcerated Bochdalek hernia containing an ischaemic splenic flexure and the distal transverse colon. During laparotomy, he underwent primary repair of the diaphragmatic defect and an extended right hemicolectomy with ileocolic anastomosis. The patient made a good recovery and is well at three months following surgery. This case highlights the need for surgeons to be vigilant about rare types of congenital internal hernias as they may become symptomatic later in life.
[Mh] Termos MeSH primário: Hérnias Diafragmáticas Congênitas
Obstrução Intestinal
[Mh] Termos MeSH secundário: Adulto
Hérnias Diafragmáticas Congênitas/complicações
Hérnias Diafragmáticas Congênitas/diagnóstico
Hérnias Diafragmáticas Congênitas/cirurgia
Seres Humanos
Obstrução Intestinal/diagnóstico
Obstrução Intestinal/etiologia
Obstrução Intestinal/cirurgia
Masculino
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170630
[St] Status:MEDLINE
[do] DOI:10.1308/rcsann.2017.0065



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