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Congenital diaphragmatic hernia
Published in Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg, Operative Pediatric Surgery, 2020
Erin E. Perrone, George B. Mychaliska
Treatment of Morgagni hernias in asymptomatic patients is considered by some to be controversial. Repair can be performed transthoracically or transabdominally, however, transabdominal repair is advocated because it allows for repair of bilateral hernias, which are often only diagnosed intraoperatively. Repair consists of suturing the diaphragm to the underside of the posterior rectus sheath at the costal margin after reduction of the hernia. Most surgeons also advocate for resection of the sac, although this may increase the risk of pneumopericardium or pneumothorax. Patients with Morgagni hernias are typically more stable preoperatively than patients with Bochdalek hernia and are better candidates for minimally invasive approaches to repair.
Paper 4
Published in Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw, The Final FRCR, 2020
Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw
The supply of the lesion by the bronchial artery helps exclude pulmonary sequestration, which receives a systemic arterial supply. Similarly, this makes a diaphragmatic hernia, such as a Bochdalek hernia, unlikely. The question also states that the diaphragm is intact.
The thorax
Published in Spencer W. Beasley, John Hutson, Mark Stringer, Sebastian K. King, Warwick J. Teague, Paediatric Surgical Diagnosis, 2018
Spencer W. Beasley, John Hutson, Mark Stringer, Sebastian K. King, Warwick J. Teague
The late-presenting Bochdalek hernia often presents difficulties in diagnosis, which may lead to inappropriate treatment. The prime example is when the gas-filled stomach in the chest is mistaken for a tension pneumothorax. Strangulation is a rare, but important, complication of Bochdalek hernias. The majority of Morgagni hernias are asymptomatic and these strangulate rarely. Some Morgagni hernias may present in early infancy with respiratory symptoms.
Congenital diaphragmatic hernia in adults: a decade of experience from a single tertiary center
Published in Scandinavian Journal of Gastroenterology, 2022
Henriikka Hietaniemi, Tommi Järvinen, Ilkka Ilonen, Jari Räsänen
Congenital diaphragmatic hernias (CDHs) arise when the fusion of the diaphragm remains incomplete during embryologic development. A Bochdalek hernia (Figure 1), situated in the posterolateral location, accounts for about 95% of CDHs occurring in infants [1]. Bochdalek hernias often present as acute respiratory distress during the neonatal period due to a large hernia sac displacing the lung in the thoracic cavity. Clinical incidence in adult populations is low, with prevalence in the adult population reaching 0.17% to 12.7% given estimates from imaging study reviews [2–5].
Left sided flank pain due to Bochdalek hernia with intrathoracic kidney
Published in Scandinavian Journal of Urology, 2019
Sophia Liff Maibom, Phillip Ryom, Katrine Schou-Jensen
Bochdalek hernia (BH) is a rare diaphragmatic defect, which allows abdominal viscera to herniate into the thorax. Symptomatic BH occurs in the left side in the majority of cases and predominantly in males. Thoracic kidneys associated with BH are very rare with an incidence of 0.25% [1]. The majority of patients with BH are diagnosed as newborns and undergo surgical treatment with closure of the defect [2]. The incidence of recurrence is low [3, 4].