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Juan F García-Regalado, Mariana M Navarro-Rojas
INTRODUCTION: Tension gastrothorax is caused by the herniation of the stomach into the thorax due to a congenital defect of the diaphragm; the Bochdaleck diaphragmatic hernia (HDB) is the most frequent type. OBJECTIVE: Tension gastrothorax should be considered as a differential diagnosis in patients with obstructive shock and tension pneumothorax. CASE REPORT: A previously healthy 10 month-old male infant, who presented increased respiratory distress, increased volume of the left hemithorax, absence of breath sounds, ipsilateral hyper-resonance, 76% saturation, cold skin and capillary filling > 5 seconds, followed by a cardio-respiratory arrest...
July 2014: Revista Chilena de Pediatría
Jamile Rizzardi Lava, Guilherme A Hettwer, Cleiton Jonei Reginatto, Guilherme Galoro, Carolina T Gehlen, Maria Cm Subtil, Vitor E Valenti, Luiz Carlos Deabreu, Carlos Bandeira de Mello Monteiro, Márcio Petenusso
Congenital diaphragmatic Bochdaleck hernia is an anatomical defect of the diaphragm, which allows protrusion of abdominal viscera into the chest, causing serious pulmonary and cardiac complications in the neonate. In this study we aimed to present a case of congenital Bochdaleck hernia. We investigated a 40 weeks old child, with a pregnancy carried out in a public hospital in Passo Fundo, Rio Grande do Sul, Brazil. We suggest that if diagnosis occurs in the prenatal period, the prognosis of this disease improves...
2012: International Archives of Medicine
Ayman Al-Jazaeri
BACKGROUND: Minimally invasive (MI) congenital diaphragmatic hernia (CDH) repair can be challenging. Placing rib-anchoring stitches without creating skin incisions and closing wider defects are some of the difficulties. In Bochdaleck hernia repair, maintaining visceral reduction and minimizing pneumothorax use are additional obstacles. We describe the use of hollow-needle snares (HNS) and transthoracic traction stitches (TTS) to overcome these challenges. METHODS: Hollow-needle snares is assembled by passing a prolene stitch through a hollow needle creating a retractable snare, which is used to extract the placed anchoring stitches by passing it over the ribs but through the same stitch's skin entrance site...
January 2012: Journal of Pediatric Surgery
S Singh, A Wakhlu, A Pandey, S N Kureel, J D Rawat
BACKGROUND: Strangulation is very rare in congenital diaphragmatic hernia (CDH) of the Bochdaleck variety. Here, we share our experience with six cases of delayed presentation of strangulated CDH. The aim of this article is to provide information on how to diagnose and manage this situation using a systematic approach. MATERIALS AND METHODS: A retrospective review identified six cases of strangulated/obstructed CDH from 1998 to 2011. Demographic data, clinico-radiological findings, management and complications, along with final outcome were recorded...
June 2013: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Nandlal Kella, Prem Kumar Rathi, Mohammad Ali Qureshi
A five-year-old female child presented with intestinal obstruction. X-ray abdomen and chest showed multiple air-fluid levels in abdomen and a single gas shadow with air-fluid level in left hemithorax. Ultrasound confirmed the presence of gut loop in left side of chest. Laparotomy was carried out with repositioning of intestinal loops in abdominal cavity and closure of posterolateral diaphragmatic defect with non-absorbable suture. Patient recovery was uneventful. As soon as diagnosis of diaphragmatic hernia is made, surgical intervention should be made to prevent fatal complications...
April 2009: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
O Berbel Tornero, J A Ortega García, J Ferrís i Tortajada, J García Castell, J Donat i Colomer, O P Soldin, J L Fuster Soler
INTRODUCTION: The association between pediatric cancer and congenital abnormalities is well known but, there is no exclusive data on the neonatal period and the underlying etiopathogenic mechanisms are unknown. OBJECTIVES: First, to analyze the frequency of neonatal tumours associated with congenital abnormalities; and second, to comment on the likely etiopathogenic hypotheses of a relationship between neonatal tumours and congenital abnormalities. MATERIALS AND METHOD: Historical series of neonatal tumours from La Fe University Children's Hospital in Valencia (Spain), from January 1990 to December 1999...
June 2008: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
C Esposito, A Settimi, A Centonze, A Savanelli, G Ascione, M De Marco, C De Fazio, G Esposito
The presentation of congenital diaphragmatic hernia (CDH) at birth may fall outside the typical features (cyanosis, tachypnea and respiratory failure), manifesting, instead, also with others pictures that make the diagnosis difficult or even impossible. We report a case of CDH presenting as a pneumothorax and a perforative peritonitis due to an antenatal gastric perforation.
March 2008: Pediatric Surgery International
Brian González-Pérez, Luis Gabriel Durán-Bravo, María de los Angeles Alvarez-González, Miguel Angel Prieto-Méndez, Carlos Eduardo Barrientos-Guerrero, Nicanor Ricardi-Constantino
The Bochdaleck's hernia is an anatomical defect of posterolateral region of the diaphragm that lets abdominal structures go inside the thorax. It has an incidence of 1 in 2000 to 5000 of newborn alive, without difference of sex. This defect is very common in the neonatal period and rare in adult age. We present a case of a male patient 32 years old, with the definitive diagnosis of Bochdalek hernia. The diagnosis was made by radiographic findings, with a few digestive symptoms. Confirmatory diagnosis was made by axial tomography computerized that found part of bowel in right hemithorax and pulmonary hypoplasy, with liver in situs solitus...
November 2006: Revista Médica del Instituto Mexicano del Seguro Social
Nikolaos Barbetakis, Andreas Efstathiou, Michalis Vassiliadis, Theocharis Xenikakis, Ioannis Fessatidis
Diaphragmatic hernia complicating pregnancy is rare and results in a high mortality rate, particularly if early surgical intervention is not undertaken. We report a case in which a woman presenting at 23 wk's gestation was admitted with symptoms of respiratory failure and bowel obstruction due to incarceration of viscera through a left posterolateral defect of the diaphragm (Bochdalek's hernia). Surgery (left thoracoabdominal incision) demonstrated compression atelectasis, mediastinal shift, strangulation and gangrene of the herniated viscera which led to segmental resection of the involved portion of large intestine with re-establishment of bowel continuity by end to end anastomosis...
April 21, 2006: World Journal of Gastroenterology: WJG
No abstract text is available yet for this article.
August 27, 1952: Boletines y Trabajos
E Traverso, G Martinelli, S Scabini, I Lanati, M Frascio, G Reboa, E Berti Riboli
The case of a 27-year-old woman, admitted to our surgical ward with symptoms of epigastric-ache, postmeal vomiting and significant weight loss, is reported. Clinical and radiographic suspicion of mesenterium commune, with duodenal compression due to bands, requested an explorative laparatomy that confirmed the mesenterium commune presence with left caecum and colon adhesion and left Bochdaleck hernia, which is rare in adult age.
October 2002: Minerva Chirurgica
M Echenique Elizondo
No abstract text is available yet for this article.
March 2002: Revista Española de Enfermedades Digestivas
E Kiguli-Malwadde, M G Kawooya
Three cases of congenital diaphragmatic hernia (CHD) are presented with special emphasis on a neonate with an unusual combination of abnormalities. It was noted that in all three the hernias were of the Bochdaleck's type. CDH may not always be a single isolated failure of closure of the pleural peritoneal hiatus but a more complex multi organ anomaly.
October 1998: East African Medical Journal
J Moreaux
The sliding hiatal hernias are the most usual diaphragmatic hernias in adults. Their recognition and the survey of their complications are performed with esophagoscopy. Antisecretory drugs are efficient in case of esophagitis. Indications for surgery are discussed in young patients with a long-term medical treatment. The paraesophagal hernias even with a total intrathoracic volvulus of the stomach are operated through abdominal approach. The Morgagni hernias are uncommon and rarely symptomatic. The Bochdaleck hernias are exceptionally revealed at adult age...
February 1, 1997: La Revue du Praticien
G Schimpl, R Fotter, H Sauer
Late-presenting congenital diaphragmatic hernia (CDH) is often difficult to diagnose and delay in treatment is common. Seven patients were operated beyond the newborn period for left-sided Bochdaleck hernia. Their age ranged from 1 month to 9 years. Six of them became symptomatic within the 1st year of life (1 week to 9 months of age). Either feeding difficulties or recurrent respiratory infections were initially present. In all of them chest X-rays were performed but delay in diagnosis ranged from 1 week to 5 years...
September 1993: European Journal of Pediatrics
C Esposito
Congenital segmental dilatation of intestine is a very rare pathology and up to date less than 50 cases have been reported in literature. Herein we report a case of segmental dilatation of ileum associated to diaphragmatic hernia. The main clinical and pathogenetic aspects are discussed, and the theory of a ganglionic dysplasia as a cause of congenital segmental dilatation is here confirmed.
June 1994: European Journal of Pediatric Surgery
B Kourias, A Agorogiannis
No abstract text is available yet for this article.
July 1968: Lyon Chirurgical
A Fernández Sánchez, P Fernández Eire, J M Gutiérrez Dueñas, J C López Gutiérrez, J G Utrilla
From 1975 to 1988 we studied and valued fourteen pediatric patients, treated in the Department of Pediatric Surgery at Children's Hospital La Paz, with the Childs-Phillips procedure by postoperative recurrent bowel obstruction. Ten newborn infants had the following diagnoses: intestinal atresia, 4; Bochdaleck hernia, 3; Hirschsprung disease, 2; intestinal rotation anomalies, 1. Four patients out of neonatal period had: hiatal hernia, 1; intussusception, 1; appendicitis, 2. Six patients had more than one episode of bowel obstruction...
January 1990: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
J L Roques Serradilla, M Martínez Verduch, J A Velázquez, S Ruíz Company
Recuperation of pulmonary function after surgical repair of Bochdaleck's hernia is considered. Gasometric and radiologic features as well as scintigraphy are related in order of prognosis. Of 16 cases, seven had sudden fatal outcome. Survivals achieved total pulmonary recuperation, but some in two to three years.
April 1977: Anales Españoles de Pediatría
A Sellami, R Fourati, M S Krichene
No abstract text is available yet for this article.
November 1979: La Tunisie Médicale
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