An Unusual Etiology of Chest Pain in a Patient With a History of Left-Sided Congenital Diaphragmatic Hernia

2017 ◽  
Vol 6 (2) ◽  
pp. 39-42
Author(s):  
Elizabeth A. Paton ◽  
Leslie J. Long ◽  
James W. Eubanks
Keyword(s):  
Chest Pain ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
History Of

scholarly journals Innovative use of mesh bolster for adult Morgagni hernia repair

2019 ◽  
Vol 2019 (7) ◽  
Author(s):  
Nabiel Azar ◽  
Robert Azar ◽  
Katie Robertson ◽  
Priya Gupta
Keyword(s):  
Chest Pain ◽  
Hernia Repair ◽  
Congenital Diaphragmatic Hernia ◽  
Shortness Of Breath ◽  
Morgagni Hernia ◽  
Adult Case ◽  
Rare Type ◽  
Lack Of Fusion ◽  
Large Size ◽  
History Of

AbstractMorgagni hernia is a rare type of congenital diaphragmatic hernia caused by lack of fusion of the pleuroperitoneal membrane anteriorly leading to a defect in the foramen of Morgagni. These are rare hernias and typically present early in life. Those that do not get repaired during infancy or adolescence often present later in life with variable symptoms including obstruction, incarceration, strangulation, pulmonary symptoms, chest pain, etc. Herein we present an adult case that was found incidentally after a screening computerized tomography (CT) chest scan was done for history of smoking. There are two unique aspects to this case: first, given the large size of her hernia, her only complaint was mild shortness of breath and second, the innovative use of mesh as a suture bolster.

scholarly journals Strangulated Diaphragmatic Hernia in an Elderly Man

2021 ◽  
Vol 16 (1) ◽  
pp. 283-287
Author(s):  
Firdaus Hayati ◽  
Keyword(s):  
Intestinal Obstruction ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Late Onset ◽  
Acute Intestinal Obstruction ◽  
Bowel Habit ◽  
Bowel Sound ◽  
Palpable Mass ◽  
History Of ◽  
Right Diaphragmatic Hernia

A congenital diaphragmatic hernia is very uncommon among adults. A diaphragmatic hernia is primarily acute in onset and it is usually identified after trauma. It occurs mostly on the left side. We would like to report a 68-year-old male who presented with a 4-day history of acute intestinal obstruction with a background history of change in bowel habit for a month secondary to a right diaphragmatic hernia. He did not have any history of trauma. Clinical examination revealed a distended abdomen with high pitched bowel sound and no palpable mass. The right lung was inaudible on auscultation. Computed tomography scan was consistent with a right diaphragmatic hernia and acute intestinal obstruction. We highlight the late onset of a congenital diaphragmatic hernia and emphasize the vital need for perioperative management to ensure a promising surgical outcome.

Prenatal diagnosis and natural history of the fetus with a congenital diaphragmatic hernia: Initial clinical experience

1985 ◽  
Vol 20 (2) ◽  
pp. 118-124 ◽  
Author(s):  
Don K. Nakayama ◽  
Michael R. Harrison ◽  
Daryl H. Chinn ◽  
Peter W. Callen ◽  
Roy A. Filly ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Natural History ◽  
Congenital Diaphragmatic Hernia ◽  
Clinical Experience ◽  
Diaphragmatic Hernia ◽  
History Of ◽  
Initial Clinical Experience

The natural history of congenital diaphragmatic hernia and pulmonary hypoplasia in the embryo

1993 ◽  
Vol 28 (3) ◽  
pp. 456-463 ◽  
Author(s):  
Dietrich Kluth ◽  
Rob Tenbrinck ◽  
Martin von Ekesparre ◽  
Richard Kangah ◽  
Peter Reich ◽  
...  
Keyword(s):  
Natural History ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Pulmonary Hypoplasia ◽  
History Of

scholarly journals Case Report: Late-Presenting Congenital Diaphragmatic Hernia With Tension Gastrothorax

2021 ◽  
Vol 9 ◽  
Author(s):  
Aabha A. Anekar ◽  
Sumana Nanjundachar ◽  
Dhaneshgouda Desai ◽  
Jafferali Lakhani ◽  
Prakash M. Kabbur
Keyword(s):  
Case Report ◽  
Chest Pain ◽  
Respiratory Distress ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Tension Pneumothorax ◽  
Tube Placement ◽  
Bilious Vomiting ◽  
Life Threatening ◽  
Tension Gastrothorax

A congenital diaphragmatic hernia (CDH) occurs when the abdominal contents protrude into the thoracic cavity through an opening in the diaphragm. The main pathology lies in the maldevelopment or defective fusion of the pleuroperitoneal membranes. Delayed diagnosis in later childhood as in the index case reported here can lead to life-threatening complications such as tension gastrothorax and gastric volvulus. Such life-threatening conditions should be managed emergently avoiding misdiagnoses and untoward harm to the patient. We report a pediatric case of an 8-year-old boy who presented with respiratory distress, chest pain, and non-bilious vomiting. He was initially diagnosed with tension pneumothorax, and the chest x-ray was interpreted as hydropneumothorax. A chest tube placement was planned but was withheld due to excessive vomiting. A nasogastric (NG) tube was placed, and a barium-filled radiograph showed an intrathoracic presence of the stomach. A diagnosis of a congenital diaphragmatic hernia with tension gastrothorax was made. The posterolateral (Bochdalek) diaphragmatic hernia was repaired successfully. This case report highlights the importance of including a late-presenting CDH in the differential diagnoses of pediatric patients who present with respiratory distress, chest pain, non-bilious vomiting, and radiological findings suggestive of tension pneumothorax.

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