Bochdalek´s hernia is a congenital malformation of the posterolateral Sua apresentação ocorre normalmente na infância, com incidência em neonatos. Congenital diaphragmatic hernia (CDH) is a developmental defect of the With the advent of antenatal diagnosis and improvement of neonatal care, . with congenital heart disease and bochdalek diaphragmatic hernia. Presentamos 3 casos de hernia congénita de Bochdalek en mujeres adultas, respiratory distress in newborn infants and constitutes a neonatal emergency.
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To characterise the clinical manifestations of late presenting Bochdalek diaphragmatic hernia DHthe incidence of misdiagnosis, and prognosis; and to explore the sequence of events that leads to this clinical picture.
Bochdalek hernia – Wikipedia
All children with Bochdalek DH were identified. Children 1 month of age and older at the time of diagnosis were included. Twenty two children with Bochdalek DH met the neoatos criteria. Three clinical presentations could be defined.
Fourteen children presented with acute onset of symptoms, predominantly vomiting and respiratory distress.
Four had chronic non-specific gastrointestinal or respiratory symptoms, and in four the DH was found incidentally. One child experienced a complicated course when the x ray picture was misinterpreted as pneumothorax.
All children had favourable outcome.
Hernia diafragmбtica postraumбtica: caso clнnico – Medwave
Two children had previously normal chest imaging, suggesting acquired herniation. A large pleural effusion without DH in a 9. Late presenting Bochdalek DH can present with acute or chronic gastrointestinal, or less frequently, respiratory symptoms. It can also be found incidentally.
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Misdiagnosis can result in significant morbidity. Favourable outcome is expected when the correct diagnosis is made.
The sequence of events is probably herniation of abdominal viscera through dr pre-existing diaphragmatic defect. Although rare, DH should be considered in any child presenting with respiratory distress or with symptoms suggestive herniaa gastrointestinal obstruction. A 15 month old boy presented with restlessness. Bowel sounds were heard on auscultation in the left hemithorax.
Chest x ray examination confirmed the diagnosis of DH. Chest CT at that time did not show any abdominal viscera within the thorax A. She presented one month later with abdominal pain and bilious vomiting. A chest CT at that time showed bowel loops arrowheads within the thorax B.
Bochdalek diaphragmatic hernia: not only a neonatal disease
Hernai Center for Biotechnology InformationU. Journal List Arch Dis Child v. Author information Copyright and License information Disclaimer. This article has been cited by other articles in PMC.
Intermittent diaphragmatic hernia of Bochdalek: Congenital left posterolateral diaphragmatic hernia with previously normal chest x-ray. Diaphragmatic hernia masquerading as pneumothorax in two toddlers.
The late-presenting pediatric Bochdalek hernia: Congenital posterolateral diaphragmatic hernia past infancy. Presentation of congenital diaphragmatic hernia past the neonatal period. Diaphragmatic hernia in infancy: Radiological cases of the month.
Bochdalek hernia after trauma. Am J Dis Child. Laparoscopic approach to surgical management of congenital diaphragmatic hernia in the newborn. Open in a separate window.
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