Concomitant diaphragmatic hernia repair with coronary artery bypass grafting surgery

Mohan, Gokulakrishnan; Kalyanaraman, Srinivas; Ramakrishnan, Sivakumar; Theodore, Sanjay

doi:10.4103/aca.aca_42_17

Cited by 2 publications

(2 citation statements)

References 4 publications

(4 reference statements)

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“…However, the prevalence of BH in adults is only 0.17% [1,3]. Approximately 78% of all BH are leftsided, 20% are right-sided, and 2% are bilateral [4,5]. During the 4th week of gestation, the diaphragm begins to develop and is usually fully formed by 9 weeks of gestation [6].…”

Section: Introductionmentioning

confidence: 99%

Right-Sided Bochdalek Hernia with Cecum Perforation

Faraj¹,

Janssen²,

Goor³

et al. 2020

SCR

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Background: A Bochdalek hernia is one of the most frequently occurring congenital diaphragmatic hernias, and it occurs in 1 out of 2,500 births. Clinical cases of adults with symptomatic Bochdalek hernias are very rare. We describe a patient with an incarcerated Bochdalek hernia who underwent emergency surgery and presented with a recurrence after three years. Comparable cases in the literature were reviewed. Case Presentation: A 56-year-old woman presented to the emergency department with acute dyspnea and pain in the epigastrium shortly after gastroscopy. A CT scan showed right sided intrathoracic herniation of the ascending colon and signs of perforation of a hollow viscus. During the operation, a suture repair of a cecal perforation as well as of a diagrammatic lesion was performed. The thorax and abdomen were lavaged and drained. The postoperative course was uneventful. After 3 years, the patient presented with colic pain in the upper abdominal quadrants. A small recurrence of the Bochdalek hernia was observed on a computed tomography scan and was managed with watchful waiting. A systematic search of comparable acute cases of Bochdalek hernias was performed. Conclusion: An incarcerated right colon with a perforation in a Bochdalek hernia is extremely rare; only 11 comparable cases of right sided Bochdalek hernia with acute symptoms are described in the literature. Recurrent Bochdalek hernias are even rarer. As a delay in the diagnosis or a missed diagnosis can ultimately lead to death, adequate imaging is warranted when considering a recurrence of a Bochdalek hernia.

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Section: Introductionmentioning

confidence: 99%

Right-Sided Bochdalek Hernia with Cecum Perforation

Faraj¹,

Janssen²,

Goor³

et al. 2020

SCR

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“…The diaphragmatic defect can be repaired using a mesh or it can be simply sutured [ 1 , 5 ]. In procedures performed through a sternotomy it is possible to use a double-lumen endotracheal tube to maintain one-lung ventilation for a better surgical field [ 9 ].…”

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confidence: 99%