Perforated Gastric Gangrene without Pneumothorax in an Adult Bochdalek Hernia due to Volvulus
| Autor: | Manipadam Jm, Ambady, Sebastian Gm, Hariharan R |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Clinical Biochemistry Perforation (oil well) lcsh:Medicine Surgery Section 030230 surgery 03 medical and health sciences 0302 clinical medicine laparotomy Laparotomy medicine Hernia Gangrene business.industry lcsh:R Congenital diaphragmatic hernia General Medicine organoaxial volvulus medicine.disease duodenal ulcer perforation Volvulus Surgery Bochdalek hernia Pneumothorax 030220 oncology & carcinogenesis business |
| Zdroj: | Journal of Clinical and Diagnostic Research, Vol 10, Iss 4, Pp PD09-PD10 (2016) |
| ISSN: | 2249-782X |
| DOI: | 10.7860/jcdr/2016/18032.7552 |
| Popis: | Bochdalek hernia is the most frequent congenital diaphragmatic hernia which occurs due to a defect in the posterior attachment of the diaphragm when there is a failure of closure of the pleuroperitoneal membrane in utero. It rarely presents for the first time in adults. We report one such case of a 23-year-old male patient who presented with an acute abdomen. Chest X-ray showed air under diaphragm and he was taken up for an emergency laparotomy. Intraoperatively an organoaxial volvulus of the stomach was found in a bochdaleks hernia with a focal gangrene of the stomach fundus with perforation and peritonitis. However, there was no breach of pleural cavity. A sleeve resection of the gangrenous portion of the stomach was performed and the diaphragmatic defect was repaired. Patient made an uneventful postoperative recovery. Gastric gangrene with perforation as a manifestation of the adult bochdalek hernia is indeed rare. A concomitant pneumothorax occurs along with this condition which requires an intercostal drainage tube prior to the laparotomy. We report this case for its unique presentation without pneumothorax. |
| Databáze: | OpenAIRE |
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