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Search Results: 1 - 10 of 12 matches for " Bochdalek "
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Congenital Diaphragmatic Hernia with Delayed Diagnosis: Report of Two Cases  [PDF]
Sidney Pereira Pinto Lemos, Patrícia Veruska Ribeiro Barbosa Lemos, Natália Araújo Lima Rocha Coelho, Danielle Moreira de Abrêu, Lucas Barbosa Ribeiro Feitosa
Case Reports in Clinical Medicine (CRCM) , 2015, DOI: 10.4236/crcm.2015.43025
Abstract:
Introduction: Advances in prenatal imaging studies have allowed early diagnosis of Congenital Diaphragmatic Hernia (CDH), although neonatal mortality remains at high levels (60% survival). Despite advances, this study found delayed diagnosis, demonstrating subdiagnosis, possibly caused by lack of resources and/or prenatal diagnostic failure. Case Report 1: Infant, 4 months and 22 days old, dyspneic, cyanotic, with fever and vomiting for 3 days, treated as pneumonia. After the second chest radiography, a right CDH was revealed. Surgical correction was performed and removal of Meckel’s diverticulum was surgical findings. The patient was discharged on the 10th days after admission. Case Report 2: Infant, 11 months and 3 days old, distended abdomen, with fever and dyspnea for 2 days, treated as pneumonia. After the second chest radiography, a left CDH was revealed. The patient was submitted to surgery, intestinal loop incarceration without necrosis was observed, and the correction of CDH was performed. The patient was discharged on the 7th day after admission. Discussion: Three cases, between July 2012 and July 2013, were diagnosed at Dom Malam Hospital; 2 Cases of CDH, with delayed diagnosis, showed incidence of 66.66%. Delayed diagnosis of these patients with initial hypotheses of pneumonia demonstrated high risk, emphasizing the importance of diagnosis research through observation of the clinical course, the correct imaging interpretation, in order to establish early diagnosis and treatment.
Hernia diafragmática materna estrangulada y embarazo: Reporte de caso
Reyna-Villasmil,Eduardo; Santos-Bolívar,Joel; Pe?a-Paredes,Elvia; Perozo-Romero,Juan; De Nobrega-Correa,Helen;
Revista de Obstetricia y Ginecología de Venezuela , 2008,
Abstract: a 24 years-old patient, primigravid, with a 26 weeks pregnancy, who assisted for presenting accentuated dyspnea and back pain. chest x-ray showed the presence of infiltrate in left lung and maker pleural effusion. after placing a thoracic tube, there was seen gastric content draining from thoracotomy tube, cause patient was explorated immediately. during exploration, omentun, stomach and transverse colon were observed through posterolateral bochdalek′s channel.
A rare cause of recurrent pneumonia: A delayed diagnosis of Bochdalek hernia
Sekmenli T et al.
Konuralp Tip Dergisi , 2010,
Abstract: The incidence of congenital diaphragmatic hernia is 1/5000 in live births and 1/2000 in stillbirths. Cases are usually term newborns. Most prominent symptom is respiratory distress. Other organ malformations may accompany. Mortality rate is about 40-50%. Here, we presented a girl 2.5 years-old admitted with recurrent pulmonary infections and treated with medications but diagnosis of congenital diaphragmatic hernia (Bochdalek hernia) was delayed.
Congenital Bochdalek’s Diaphragmatic Hernia
Baba Usman Ahmadu,Chinda John Yola,Kaleb Abalis Abew
Journal of Nepal Paediatric Society , 2012, DOI: 10.3126/jnps.v32i3.6968
Abstract: Diagnosis of a rare Bochdalek’s congenital diaphragmatic hernia may be challenging. Our patient presented with respiratory and gastrointestinal findings. Chest radiograph revealed the stomach in the left thorax. Diagnosis of recurrent bacterial pneumonia was incorrectly made because of repeated symptoms. Chest radiograph can provide sufficient information for rapid diagnosis. DOI: http://dx.doi.org/10.3126/jnps.v32i3.6968 J. Nepal Paediatr. SocVol.32(3) 2012 254-256
Patología diafragmática en el ni o
Marco A,A Varela,León Vial V,Julio Zunzunegui H
Revista chilena de pediatría , 1976,
Abstract:
Posterolateral Bochdalek diaphragmatic hernia in adults
Garófano-Jerez,José Maximiliano; López-González,Juan de Dios; Valero-González,M.a ángeles; Valenzuela-Barranco,Manuel;
Revista Espa?ola de Enfermedades Digestivas , 2011, DOI: 10.4321/S1130-01082011000900009
Abstract: bochdalek hernias (bhs) are produced in the posterolateral area of the diaphragm. they are generally congenital, appearing in childhood, but are also detected in asymptomatic adult patients seeking medical attention for other reasons. computed tomography (ct) or magnetic resonance imaging (mri) is used for the correct diagnosis of the hernia type and for its localization, facilitating its management and the choice of treatment. we describe three cases of bochdalek hernia, two on the right side and one bilateral, which was larger on the right than left side. all of these hernias contained only omental fat. in one patient, the right kidney was adjacent to the diaphragmatic defect but remained within the abdomen. the patients showed no symptoms and were not surgically treated. examination by multi-slice ct with the possibility of coronal and sagittal reconstruction should be considered the standard method for diagnosing this entity. mri in t1 is highly valuable to evaluate fat-containing chest lesions. the incidental finding of bh in asymptomatic adults is increasing, thanks to the wider application of new imaging techniques.
Hernia Diafragmática Derecha en Lactante Right Diaphragmatic Hernia In Infant
Jorge Serpell B,Marisol Escobar M
Revista chilena de pediatría , 1984,
Abstract:
Bilaterally Located Bochdalek Hernia
Gamze K?rk?l,Mehmet Hamdi Muz,Ercan Kocako?
Turk Toraks Dergisi , 2009,
Abstract: Bochdalek hernia is a type of congenital diaphragmatic hernia (CDH) that typically presents in childhood, but may rarely be detected in adults. Most cases are asymptomatic and diagnosed incidentally. Hernias are often located on the left-side,while bilateral location is rare. We present a 75-year-old man in whom bilaterally Bochdalek hernia was detected incidentally.
Giant adrenal myelolipoma: Incidentaloma with a rare incidental association
Wani Nisar,Kosar Tasleem,Rawa Ijaz,Qayum Abdul
Urology Annals , 2010,
Abstract: Adrenal myelolipoma is an unusual, benign and biochemically inactive tumor that is composed of mature adipose and hematopoietic tissue. It is usually diagnosed accidentally and nowadays much more frequently because of widespread use of ultrasonography, computed tomography (CT) and magnetic resonance imaging. Adrenal myelolipoma is usually unilateral and asymptomatic, though known to be associated with obesity, hypertension, endocrinological disorders and some malignancies. We report herein two cases of right-sided giant adrenal myelolipoma diagnosed by multidetector-row CT. One patient was symptomatic because of a large mass in the right upper abdomen, which on imaging with CT was seen to be right adrenal myelolipoma. Another patient had a large left side Bochdalek hernia and right adrenal myelolipoma was incidentally discovered on CT.
Posterolateral Bochdalek diaphragmatic hernia in adults Hernia diafragmática posterolateral de Bochdalek en el adulto
José Maximiliano Garófano-Jerez,Juan de Dios López-González,M.a ángeles Valero-González,Manuel Valenzuela-Barranco
Revista Espa?ola de Enfermedades Digestivas , 2011,
Abstract: Bochdalek hernias (BHs) are produced in the posterolateral area of the diaphragm. They are generally congenital, appearing in childhood, but are also detected in asymptomatic adult patients seeking medical attention for other reasons. Computed tomography (CT) or magnetic resonance imaging (MRI) is used for the correct diagnosis of the hernia type and for its localization, facilitating its management and the choice of treatment. We describe three cases of Bochdalek hernia, two on the right side and one bilateral, which was larger on the right than left side. All of these hernias contained only omental fat. In one patient, the right kidney was adjacent to the diaphragmatic defect but remained within the abdomen. The patients showed no symptoms and were not surgically treated. Examination by multi-slice CT with the possibility of coronal and sagittal reconstruction should be considered the standard method for diagnosing this entity. MRI in T1 is highly valuable to evaluate fat-containing chest lesions. The incidental finding of BH in asymptomatic adults is increasing, thanks to the wider application of new imaging techniques. Las hernias de Bochdalek se producen a través de la zona posterolateral del diafragma. Generalmente son congénitas y se presentan en la infancia, pero pueden verse también en la edad adulta en pacientes asintomáticos, que consultan por patologías diversas. El uso de tomografía computarizada o resonancia magnética permite el diagnóstico correcto del tipo y localización de la hernia, lo cual facilitará su manejo y la elección del tratamiento. Presentamos 3 casos clínicos, dos tenían una hernia de Bochdalek derecha, y, el otro caso es bilateral, siendo mayor la situada en el lado derecho. En todos nuestros casos, el contenido ha sido únicamente grasa omental. No obstante, en uno de ellos, el ri ón derecho se situaba adyacente al defecto diafragmático, pero dentro del abdomen. Debido a la ausencia de sintomatología, nuestros pacientes no han sido tratados quirúrgicamente. La exploración mediante tomografía computarizada multicorte, con posibilidad de realizar reconstrucciones coronales y sagitales, debería ser considerada el método estándar para diagnosticar esta entidad. La resonancia magnética en T1 es muy valiosa en la evaluación de lesiones torácicas que contienen grasa. Para concluir, debemos resaltar que las hernias de Bochdalek en el adulto, asintomáticas, descubiertas de forma incidental, están siendo diagnosticadas cada vez con una mayor frecuencia gracias a los avances en las nuevas técnicas de imagen, permitiendo el diagnóstico
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