Oesophagus
Michael Gaunt, Tjun Tang, Stewart Walsh in General Surgery Outpatient Decisions, 2018
This condition is often diagnosed and treated shortly after birth. However, it may be asymptomatic and present later in life. Bochdalek hernia. There are persistent pleuroperitoneal canals. It presents in the neonatal period with respiratory distress.Morgagni’s hernia. This parasternal hernia presents in adult life with episodes of pain and tenderness in the subcostal region and intermittent obstructive symptoms. Complete intestinal obstruction may intervene.Central tendon defect is associated with a defect in the pericardium. The intestine herniates into the pericardium.
Congenital diaphragmatic hernia
Mark Davenport, James D. Geiger, Nigel J. Hall, Steven S. Rothenberg in Operative Pediatric Surgery, 2020
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.
The thorax
Spencer W. Beasley, John Hutson, Mark Stringer, Sebastian K. King, Warwick J. Teague in Paediatric Surgical Diagnosis, 2018
Congenital diaphragmatic hernia can be divided as follows:Posterolateral hernia - the Bochdalek hernia; presents most frequently in the neonatal period and is discussed in more detail in Chapter 2.Anterior hernia - the Morgagni hernia.Eventration of the diaphragm.Hernia through or alongside the oesophageal hiatus (hiatal or para-oesophageal hernia).
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].
Related Knowledge Centers
- Extracorporeal Membrane Oxygenation
- Pulmonary Hypoplasia
- Shortness of Breath
- Cyanosis
- Congenital Diaphragmatic Hernia
- Bowel Obstruction
- Neonatal Intensive Care Unit
- Pulmonary Alveolus
- Shortness of Breath