scholarly journals Intra pericardial herniation in congenital diaphragmatic hernia

2020 ◽  
Vol 10 (4) ◽  
pp. 118-120
Author(s):  
Mohamed H Koura ◽  
Hamid Qoura ◽  
Madhavan Nayar ◽  
Mohammed J Al Sajwani
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
English Language ◽  
Correct Diagnosis ◽  
Good Condition ◽  
Rare Condition ◽  
Postnatal Period ◽  
First Case ◽  
Chest X Ray ◽  
Intrapericardial Diaphragmatic Hernia

Intrapericardial diaphragmatic hernia is a rare condition with only few cases reported in the English language literature.1 During a span of eight months in 2010-2011 we treated two cases of congenital intra pericardial diaphragmatic hernia in Royal Hospital in the Sultanate of Oman. The first case was not diagnosed antenatally as diaphragmatic hernia. Post-natally the neonate was diagnosed as having pericardial effusion and correct diagnosis arrived at by CTs can. The second case was diagnosed by antenatal scan as diaphragmatic hernia and confirmed in postnatal period by chest X-Ray as left congenital diaphragmatic hernia but intra-operative finding was an anterior diaphragmatic hernia with intra pericardial herniation of the liver and part of the bowel into the pericardial sac. Both neonates were intubated after birth due to respiratory distress. A polytetrafluoroethylene (PTFE) patch was used for repair of the defect in first case and the second case was repaired without a patch. In both cases, apart from the defect, the rest of the diaphragm, on either side, was intact; sac was absent and a pericardial defect was present. Both neonates were discharged in good condition.

scholarly journals A Triad of Congenital Diaphragmatic Hernia, Meckel’s Diverticulum, and Heterotopic Pancreas

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Parkash Mandhan ◽  
Amer Al Saied ◽  
Mansour J. Ali
Keyword(s):  
Case Report ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Chromosomal Abnormalities ◽  
Meckel’S Diverticulum ◽  
Pancreatic Tissue ◽  
Meckel's Diverticulum ◽  
Developmental Anomaly ◽  
Heterotopic Pancreatic Tissue ◽  
First Case

Congenital diaphragmatic hernia is a common developmental anomaly encountered by paediatric surgeons. It is known to be associated with extradiaphragmatic malformations, which include cardiac, renal, genital, and chromosomal abnormalities. Herein, we report a newborn born with concurrent congenital diaphragmatic hernia, Meckel’s diverticulum, and heterotopic pancreatic tissue. This is the first case report of such a triad with description of possible mechanisms of the development.

scholarly journals Pedunculated Cavernous Hemangioma Originating in the Olfactory Cleft

2014 ◽  
Vol 93 (9) ◽  
pp. E29-E33 ◽  
Author(s):  
Kaiming Su ◽  
Weitian Zhang ◽  
Haibo Shi ◽  
Shankai Yin
Keyword(s):  
Nasal Cavity ◽  
Cavernous Hemangioma ◽  
English Language ◽  
Nasal Congestion ◽  
Rare Condition ◽  
Lateral Wall ◽  
Endoscopic Examination ◽  
Nasopharyngeal Angiofibroma ◽  
Olfactory Cleft ◽  
First Case

Sinonasal cavernous hemangioma is a rare condition that usually affects the lateral wall of the nasal cavity. We report the case of a 77-year-old man who presented with severe epistaxis, nasal congestion, and olfactory dysfunction. Endoscopic examination of the nasal cavity revealed the presence of a red-blue tumor that had almost completely filled the nasopharynx. Preoperatively, it was difficult to distinguish this lesion from a juvenile nasopharyngeal angiofibroma. During endoscopic surgery, the tumor was found to originate in the left olfactory cleft, and it had a long peduncle that contained blood vessels. Postoperative histopathologic examination indicated that the mass was a cavernous hemangioma. To the best of our knowledge, this is the first case of an olfactory cleft cavernous hemangioma and the first case of olfactory cleft disease associated with a cavernous hemangioma to be reported in the English-language literature.

scholarly journals Diaphragmatic eventration presenting as a recurrent diaphragmatic hernia

2017 ◽  
Vol 99 (7) ◽  
pp. e196-e199
Author(s):  
C Shwaartz ◽  
E Duggan ◽  
DS Lee ◽  
CM Divino ◽  
EH Chin
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Correct Diagnosis ◽  
Differential Diagnoses ◽  
Diaphragmatic Eventration ◽  
Asymptomatic Patients ◽  
Uncommon Condition ◽  
Made In

Diaphragmatic eventration is an uncommon condition, usually discovered incidentally in asymptomatic patients. Even in symptomatic patients, the diagnosis can be challenging and should be considered among the differential diagnoses of diaphragmatic hernia. The correct diagnosis can often only be made in surgery. We describe the case of a 31-year-old patient with diaphragmatic eventration that was misdiagnosed as a recurrent congenital diaphragmatic hernia and review the corresponding literature.

scholarly journals A newborn with anterolateral diaphragmatic defect: An unusual anomaly?

2021 ◽  
Vol 1 (2) ◽  
Author(s):  
A. Mohamed ◽  
Shankar S ◽  
Abid Qazi
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Rare Variant ◽  
Diaphragmatic Hernia ◽  
Cystic Lesion ◽  
Initial Presentation ◽  
Diaphragmatic Defect ◽  
Case Presentation ◽  
X Ray ◽  
Chest Ultrasound ◽  
Chest X Ray

Background: Anterolateral defect of diaphragm is unusual and has been reported less than 5 times in literature. Case Presentation: We are reporting a case with typical initial presentation of a congenital diaphragmatic hernia. A chest x-ray raised suspicion of a cystic lesion or diaphragmatic eventration which was excluded by chest ultrasound. At operation he was found to have a localised and large anterolateral defect with a very thick sac which was plicated to bridge the diaphragmatic defect. Conclusion: A rare variant and should be differentiated from other variants using imaging.

scholarly journals Congenital diaphragmatic hernia associated with esophageal atresia, tracheoesophageal fistula and total anomalous pulmonary venous connection in a premature twin newborn

2019 ◽  
Vol 76 (7) ◽  
pp. 745-748
Author(s):  
Djordje Savic ◽  
Blagoje Grujic ◽  
Nikola Stankovic ◽  
Maja Milickovic ◽  
Zoran Stankovic ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Congenital Diaphragmatic Hernia ◽  
Esophageal Atresia ◽  
Diaphragmatic Hernia ◽  
Congenital Heart ◽  
Gastroesophageal Junction ◽  
Rare Condition ◽  
Team Work ◽  
Adequate Treatment ◽  
Anomalous Pulmonary Venous Connection

Introduction. Congenital diaphragmatic hernia (CDH) with concomitant esophageal atresia (EA) and tracheo-esophageal fistula (TEF) is a very rare condition, with a high mortality rate. Prematurity and congenital heart anomalies additionally increase the mortality rate. This situation is a great challenge for clinicians, requiring multidisciplinary work and adequate treatment strategy. Case report. We presented a premature twin newborn at the gestational age of 33/34 weeks with body mass of 1690 g. The existence of the left CDH was established on prenatal ultrasound exam in the 24th gestational week, and the diagnosis of EA with TEF was made on admittance to our hospital. The cardiac ultrasound exam revealed the total anomalous pulmonary venous connection (TAPVC). The first operation was performed on the day of admittance and consisted of left subcostal laparotomy, diaphragmatic repair, elastic occlusion of the gastroesophageal junction and gastrostomy. The ligation of TEF and esophagoplasty were done 13 days later in the second operation. The lethal outcome during the esophagoplasty was caused by the crisis of pulmonary hypertension and associated congenital heart anomaly (TAPVC). The presence of CDH and EA/TEF in association with TAPVC in a twin newborn has not been reported before in the literature. Conclusion. The treatment of newborns with CDH and EA/TEF requires multidisciplinary well-coordinated team work of pediatric surgeons, anaesthesiologists, neonatologists and pulmologists. The standard protocol for the management does not exist, but well-planned staged operations could enable greater survival rate.

Otophyma: a case report

2007 ◽  
Vol 122 (5) ◽  
pp. 524-526 ◽  
Author(s):  
K Daniels ◽  
K Haddow
Keyword(s):  
Case Report ◽  
Rare Case ◽  
English Language ◽  
Rare Condition ◽  
Successful Management ◽  
English Language Literature ◽  
First Case ◽  
End Stage ◽  
Slow Growing ◽  
Language Literature

AbstractObjective:We report a rare case of otophyma.Method:A case report of otophyma and a review of the current literature concerning otophyma and the more common rhinophyma, are presented.Results:A 46-year-old male presented with slow growing fleshy growths on both auricles which were excised. A diagnosis of otophyma was made. Although rosacea is more common, otophyma and other ‘phymas’ are thought to be the end stage of the rosacea spectrum of skin disease. However, unlike rhinophyma, otophyma is rarely seen and as a result there is little in the English language literature regarding it. Consequently, the management of otophyma is largely based on previous experiences with rhinophyma.Conclusion:To our knowledge this is the first case report of otophyma in the otolaryngology literature and only the second described in the English language literature. This case demonstrates the difficulties faced in diagnosing this rare condition and our successful management of this case.

Complete Bilateral Agenesis of the Diaphragm

2017 ◽  
Vol 20 (1) ◽  
pp. 66-71 ◽  
Author(s):  
Mudher Al-Adnani ◽  
Andreas Marnerides
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Imperforate Anus ◽  
English Language ◽  
Horseshoe Kidney ◽  
Diaphragmatic Defect ◽  
Lung Hypoplasia ◽  
Bilateral Congenital Diaphragmatic Hernia

Bilateral agenesis of the diaphragm is a very rare congenital diaphragmatic defect. Bilateral congenital diaphragmatic hernia (CDH) is much more frequently associated with other anomalies compared with unilateral CDH (70% vs 30%–40%). These include cardiovascular, respiratory (other than lung hypoplasia), gastrointestinal, renal, and genital malformations. We report a case of complete bilateral agenesis of the diaphragm associated with a horseshoe kidney and an imperforate anus. These additional malformations have not previously been reported in association with complete bilateral agenesis of the diaphragm. We also present a review of previous cases of total diaphragm agenesis published in the English language and provide some insights about pathogenesis.

scholarly journals Fetal Congenital Diaphragmatic Hernia and Hydramnios in a Quarter Horse Mare

2021 ◽  
Vol 8 (10) ◽  
pp. 201
Author(s):  
Aliai Lanci ◽  
Martina Ingallinesi ◽  
Maria Morini ◽  
Francesca Freccero ◽  
Carolina Castagnetti ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Rare Condition ◽  
Conservative Approach ◽  
Partial Rupture ◽  
Quarter Horse ◽  
Inflammatory Drugs ◽  
Reproductive Career ◽  
Excessive Accumulation ◽  
Resuscitation Attempt

Hydramnios is an excessive accumulation of fluid within the amniotic compartment. It is a rare condition in mares, often associated with fetal anomalies. Hydrops of fetal membranes predisposes to the rupture of the prepubic tendon, and many authors suggest the induction of parturition to preserve mare’s reproductive career. This report presents the case of a 15-year-old multiparous Quarter Horse mare, referred at 268 days of gestation for suspected hydrops. Repeated ultrasonographic exams confirmed an increase in the depth of the amniotic fluid and reduced fetal viability. During the hospitalization, the mare developed a partial rupture of the prepubic tendon. In this case, a conservative approach was elected, and the mare was treated with nonsteroidal anti-inflammatory drugs (NSAIDs) and an abdominal support bandage. At 327 days of gestation, the mare gave birth to a foal with APGAR score 1. The resuscitation attempt was unsuccessful, and the foal died immediately. A post-mortem examination diagnosed a congenital diaphragmatic hernia (CDH) with pleuroperitoneal diaphragmatic eventration.

scholarly journals Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy

2018 ◽  
Vol 06 (01) ◽  
pp. e63-e65 ◽  
Author(s):  
Maren Balks ◽  
Jan-Hendrik Gosemann ◽  
Ina Sorge ◽  
Martin Lacher ◽  
Franz Hirsch
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Bowel Perforation ◽  
Tension Pneumothorax ◽  
Upper Respiratory Tract ◽  
Thoracic Computed Tomography ◽  
Mediastinal Shift ◽  
Hollow Organ ◽  
Chest X Ray ◽  
The One

AbstractWe report the case of a 3-year-old boy who presented with an upper respiratory tract infection and severe dyspnea. A chest X-ray revealed a left-sided tension pneumothorax with mediastinal shift and suspected enterothorax. After thoracic computed tomography (CT) scan, a chest tube was inserted, which drained fluid which had the same consistency and color as the one derived from the nasogastric (NG) tube. The boy underwent diagnostic laparoscopy for suspected bowel perforation, which confirmed a left-sided Bochdalek hernia with herniation of the viscera into the chest. After repositioning of the herniated organs into the abdomen, a gastric perforation was identified and repaired. This case demonstrates that the cause of a tension pneumothorax in an infant may be a rare combination of congenital diaphragmatic hernia (CDH) and perforation of a visceral hollow organ.

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