+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Congenital postero-lateral right diaphragmatic hernia--case report

Congenital postero-lateral right diaphragmatic hernia--case report

Medicinski Pregled 53(11-12): 613-616

There are three types of congenital diaphragmatic hernias (DH): posterolateral (Bochdalek) diaphragmatic hernia, subcostosternal (Morgagni's) hernia and esophageal hiatal hernia. The posterolateral (Bochdalek) diaphragmatic hernia is the result of a congenital diaphragmatic defect in the posterior costal part of the diaphragm in the region of 10th and 11th ribs, which allows free communication between the thoracic and abdominal cavity. The defect is usually found at the left side (90%) but may occur on the right side, where the liver often prevents detection. We present a 9-year-old girl with persistent cough during four weeks, vomiting and loss of appetite. She was admitted in hospital after one month ambulatory treatment without success. Chest x-ray showed an infiltrative shadow in basal lobe of the right lung and multiple radiolucencies over the right hemithorax. Irrigography confirmed presence of contrast in the right hemithorax (with herniation of colon in the right lung). The child had a restrictive type of pulmonary function and was operated after establishing the diagnosis of the disease. Posterolateral diaphragmatic defect was established intraoperatively with diameter 10 x 11 cm and with ascending colon prolapse, caecum appendix and part of colon transfersum. The child was in good condition after operation. Control X-ray was normal and the child has a normal pulmonary function on routine controls. The posterolateral right congenital DH is a rare diaphragmatic defect. The symptoms are noncharacteristic and patients with this disease can be without symptoms for a long period. The main tool for diagnosis of congenital DH is radiography, whereas treatment is surgical.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 045623824

Download citation: RISBibTeXText

PMID: 11320750

Related references

Congenital postero-lateral diaphragmatic hernia in children. California Medicine 119(4): 6-9, 1973

Postero-lateral diaphragmatic hernia and congenital right bronchopneumonectasia. Revista de la Asociacion Medica Argentina 75: 528-534, 1961

Congenital postero-lateral diaphragmatic hernia in infants. Polski Przeglad Chirurgiczny 51(5): 493-499, 1979

Two cases of postero-lateral diaphragmatic hernia (congenital Bochdalek hernia) revealed at adult age by severe complications. Operation and cure. Review of the literature. Journal de Chirurgie 115(3): 135-143, 1978

Late results following the operative treatment of congenital postero-lateral diaphragmatic hernia. Zentralblatt für Chirurgie 109(15): 1001-1005, 1984

Congenital postero-lateral diaphragmatic hernia in adults: pathogenetic and therapeutic considerations. Chirurgia Italiana 32(4): 756-762, 1980

Anom congenital postero lateral diaphragmatic hernia in the newborn cyanosis respiratory distress. Journal Of Thoracic & Cardiovascular Surgery: 54-60, 1968

Association of hiatus hernia with postero-lateral diaphragmatic hernia (Bochdalek's hernia). European Journal of Pediatric Surgery 1(4): 244-246, 1991

Hiatus hernia: a complication of postero-lateral diaphragmatic herniation (Bochdalek hernia) in infants. Clinical Radiology 31(2): 215-219, 1980

Bochdaleck's postero-lateral diaphragmatic hernia. Lyon Chirurgical 64(4): 596-604, 1968

Intermittently incarcerated postero-lateral diaphragmatic hernia. Scottish Medical Journal 5: 310-312, 1960

Bochdalek's Postero-Lateral Diaphragmatic Hernia in An Infant. Il Friuli Medico 19: 241-251, 1964

Left-sided congenital diaphragmatic hernia with multiple congenital cardiac anomalies, hernia sac, and microscopic hepatic heterotopia: a case report. Pathology Research International 2011: 967107, 2011

Factors associated with survival in infants with congenital diaphragmatic hernia requiring extracorporeal membrane oxygenation: a report from the Congenital Diaphragmatic Hernia Study Group. Journal of Pediatric Surgery 44(7): 1315-1321, 2009

Cardiac anomalies in patients with congenital diaphragmatic hernia and their prognosis: a report from the Congenital Diaphragmatic Hernia Study Group. Journal of Pediatric Surgery 40(6): 1045-9; Discussion 1049-50, 2005