Complicated Right-sided Bochdalek Hernia in an Adult
Autor: | A.C. Agrafiotis, W. Boudaka, N. Kotzampassakis |
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Rok vydání: | 2011 |
Předmět: |
medicine.medical_specialty
medicine.medical_treatment Abdominal cavity Diagnosis Differential Colon Ascending Laparotomy Humans Medicine Diaphragmatic hernia CLIPS computer.programming_language Hernia Diaphragmatic business.industry General Medicine Emergency department Middle Aged medicine.disease digestive system diseases Diaphragm (structural system) Surgery Bochdalek hernia medicine.anatomical_structure Acute Disease Female Laparoscopy Hernias Diaphragmatic Congenital Tomography X-Ray Computed business Complication computer Intestinal Obstruction |
Zdroj: | Acta Chirurgica Belgica. 111:171-173 |
ISSN: | 0001-5458 |
Popis: | Bochdalek hernias on the right side of the diaphragm are very rarely diagnosed in adults. We report a case of a 52-year-old female patient, who presented to the emergency department with acute intestinal obstruction. Plain and cross-sectional imaging identified a large right-sided Bochdalek hernia containing small bowel loops and the right colon. A laparoscopic approach was performed. The herniated intestinal loops and the right colon were reduced into the abdominal cavity. The diaphragmatic defect was closed using clips with reinforcement by a prosthetic polypropylene mesh. A mini median laparotomy was performed to ensure the viability of the bowel and a few stitches were inserted on superficial lesions of the serosa. The recovery was uneventful and the patient was discharged from the hospital 6 days after admission. Nine months later the patient is doing well. |
Databáze: | OpenAIRE |
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