Bilateral Bochdalek Hernias Presenting as Respiratory Failure in an Elderly Patient
| Autor: | Miguel Tsukayama, Carlos L. Alviar, Aleksandr Korniyenko, Gopal Narayanswami, Fahad Javed, Juan P. Cordova |
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| Rok vydání: | 2011 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Diaphragmatic breathing Critical Care and Intensive Care Medicine Diagnosis Differential Intensive care medicine Humans Diaphragmatic hernia Hernia Aged 80 and over Hernia Diaphragmatic Thoracic cavity business.industry Respiratory disease General Medicine medicine.disease Surgery Bochdalek hernia medicine.anatomical_structure Respiratory failure Anesthesia Female Hernias Diaphragmatic Congenital Respiratory Insufficiency Tomography X-Ray Computed business |
| Zdroj: | Respiratory Care. 56:691-694 |
| ISSN: | 1943-3654 0020-1324 |
| Popis: | Bochdalek hernia occurs from a congenital defect of the diaphragm, allowing the passage of abdominal structures into the thoracic cavity, limiting lung expansion and ventilatory function. Bochdalek hernia is common in neonates but rarely occur in adults; there are only 4 documented cases in the elderly population. We present a case of an 88-year-old woman with severe hypoxia and respiratory failure that required ventilatory support, in whom bilateral Bochdalek hernias progressed over the years and severely invaded the thoracic cavity, causing acute decompensation. This is a rare condition in adults but can cause substantial morbidity when the involvement of the thoracic cavity is severe. |
| Databáze: | OpenAIRE |
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