Strangulated Diaphragmatic Hernia

Pearson, Seibert C.

doi:10.1001/archsurg.1953.01260030168004

Cited by 26 publications

(6 citation statements)

References 24 publications

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“…Congenital anomalies were observed in 11% of the patients studied in this review. These include situs inversus,[ 1 ] malrotation,[ 33 34 35 36 ] incomplete attachment of the cecum,[ 31 ] hepatic hypoplasia,[ 37 38 39 40 ] bifid liver,[ 41 ] pulmonary hypoplasia,[ 37 ] Chilaiditi's syndrome,[ 42 ] Marfan syndrome,[ 43 ] mitral/tricuspid valve prolapse,[ 44 ] patent ductus arteriosus,[ 45 ] pulmonary sequestration,[ 45 ] Down's syndrome,[ 46 ] accessory lung lobe,[ 47 ] congenital pulmonary blebs,[ 48 ] asplenia, deafness, accessory diaphragm,[ 49 ] aberrant systemic artery to right lobe, and anomalous pulmonary vein. [ 50 ] In neonates, the pulmonary hypoplasia and pulmonary hypertension that BH is invariably associated with, along with persistent fetal circulation leading to respiratory failure, causes management problems.…”

Section: Congenital Anomaliesmentioning

confidence: 99%

Laparoscopic repair of bochdalek diaphragmatic hernia in adults

Machado

2016

North Am J Med Sci

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Bochdalek hernia (BH) is an uncommon form of diaphragmatic hernia. The rarity of this hernia and its nonspecific presentation leads to delay in the diagnosis, with the potential risk of complications. This review summarizes the relevant aspects of its presentation and management, based on the present evidence in the literature. A literature search was performed on PubMed, Google Scholar, and EMBASE for articles in English on BH in adults. All case reports and series from the period after 1955 till January 2015 were included. A total of 180 articles comprising 368 cases were studied. The mean age of these patients was 51 years (range 15-90 years) with a male preponderance of 57% (211/368). Significantly, 6.5% of patients were above 70 years, with 3.5% of these being above 80 years. The majority of the hernias were on the left side (63%), with right-sided hernias and bilateral occurring in 27% and 10%, respectively. Precipitating factors were noted in 24%, with 5.3% of them being pregnant. Congenital anomalies were seen in 11%. The presenting symptoms included abdominal (62%), respiratory (40%), obstructive (vomiting/abdominal distension; 36%), strangulation (26%); 14% of them were asymptomatic (detected incidentally). In the 184 patients who underwent surgical intervention, the surgical approach involved laparotomy in 74 (40.27%), thoracotomy in 50 (27.7%), combined thoracoabdominal approach in 27 (14.6%), laparoscopy in 23 (12.5%), and thoracoscopic repair in 9 (4.89%). An overall recurrence rate of 1.6% was noted. Among these patients who underwent laparoscopic repair, 82% underwent elective procedure; 66% underwent primary repair, with 61% requiring interposition of mesh or reenforcement with or without primary repair. The overall mortality was 2.7%. Therefore, BH should form one of the differential diagnoses in patients who present with simultaneous abdominal and chest symptoms. Minimal access surgery offers a good alternative with short hospital stay and is associated with minimum morbidity and mortality.

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Section: Congenital Anomaliesmentioning

confidence: 99%

Laparoscopic repair of bochdalek diaphragmatic hernia in adults

Machado

2016

North Am J Med Sci

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“…Pearson (1953) found reports of six patients who died of a strangulated diaphragmatic hernia in pregnancy, and described a case of strangulation several hours after normal delivery. The first to operate successfully on such a case were Thompson and Le Blanc (1945).…”

Section: Mechanism Of Strangulationmentioning

confidence: 99%

“…INCIDENCE Carter and Giuseffi (1948) collected all reported cases of strangulated diaphragmatic hernia from 1798 to 1948. Pearson (1953) added a further 33 cases from the literature up to 1953up to . From 1953 (Table I).…”

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confidence: 99%

Strangulated diaphragmatic hernia

Hoffman

1968

Thorax

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“…Nevertheless, because of the dangerous possibility of strangulation, some authors recommend surgery immediately on diagnosis [1]. However, strangulation of the herniated bowel appears to be rare and only a relatively small number of cases have been reported [17,18]. Although in case 3 there is no proof that the acute pancreatitis was directly related to the congenital anomaly, the closeness of the relationship between the appearance of symptoms and the dive strongly suggests a causal one.…”

Section: Discussionmentioning

confidence: 99%