285 results match your criteria: "Diaphragmatic Hernias Acquired"

Thoracic hernias: What the radiologist should know.

J Med Imaging Radiat Oncol

October 2024

Cardiothoracic Imaging Section, Radiology Department, Mallinckrodt Institute of Radiology, Washington University in St. Louis, St. Louis, Missouri, USA.

Thoracic hernias encompass the protrusion of thoracic contents through the thorax or intra-abdominal tissue into the thorax. They can be classified as diaphragmatic hernias - either congenital or acquired; pulmonary hernias - involving tissue protrusion through cervical fascia or intercostal spaces; and mediastinal hernias - including cardiac, intrapericardial and hiatal hernias. Prompt identification and classification of thoracic hernias rely on diagnostic imaging, primarily through computed tomography and magnetic resonance, to identify associated complications.

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Article Synopsis
  • Diaphragmatic hernias (DH) are defects in the diaphragm allowing abdominal contents into the thoracic cavity, which can be either congenital (like Bochdalek hernia) or acquired, often due to trauma.
  • A 69-year-old female experienced acute abdominal pain and was found to have a right posterolateral DH containing part of her colon, leading to an urgent surgical intervention.
  • The surgery initially attempted laparoscopically was converted to an open procedure for better access, successfully repairing the hernia without tension or mesh, and the patient was discharged shortly after.
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Recent studies have suggested that there may be a relationship between hiatal hernia (HH) and atrial fibrillation (AF), but the specific mechanism is unclear. The aim of this study was to explore the clinical characteristics associated with HH and AF and to identify the potential relationship between the 2 diseases. The study comprised 180 patients with HH, of which 54 had AF.

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Introduction And Importance: The pericardial hernia is a rarely encountered clinical condition characterized by the herniation of the abdominal viscera into the pericardial cavity. Trauma precedes the development of these hernias in most cases, yet iatrogenic intervention and congenital defects are other potential causes.

Case Presentation: A male aged 60 years, with no history of previous trauma, presented with epigastric pain and was diagnosed with a case of STEMI.

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Introduction: Diaphragmatic hernia is most commonly congenital; however, it can also be acquired, most often due to trauma. It is a life-threatening condition resulting in abdominal visceral incarceration and subsequent mortality.

Presentation Of Case: Our patient was a 27-year-old mother who presented with upper abdominal pain associated with breathlessness.

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Anterior diaphragmatic hernias manifest when a diaphragmatic defect permits abdominal contents to enter the thoracic cavity. They may be congenital or acquired; when acquired, the typical etiology is traumatic injury. Without treatment, they risk incarceration or strangulation.

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An 18-month-old neutered male domestic shorthair cat was presented for an emergency consultation after falling from the second floor. The cat sustained minor traumatic injuries but did not exhibit dyspnea. Routine radiographic examination raised suspicion of a diaphragmatic hernia, but the circumscribed nature of the soft tissues visible in the thorax was atypical for a classic traumatic diaphragmatic hernia.

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Aim: Acquired post-transplant diaphragmatic hernia (PTDH) is a rare complication of liver transplantation (LT) in children. We aimed to present our experience in PTDH, and a possible causative background is discussed.

Methods: Medical records of patients who had undergone diaphragmatic repair following LT between 2015 and 2023 were reviewed.

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Article Synopsis
  • Morgagni hernias are rare congenital diaphragmatic defects, sometimes acquired in pediatric cases and incidentally discovered in adults; this study highlights a unique adult case linked to a history of heart issues.
  • The patient, an 80-year-old woman with previous heart surgery complications, experienced significant pain and was diagnosed with a large Morgagni hernia after imaging tests.
  • The surgery utilized thoracic segmental spinal anesthesia (TSSA) instead of general anesthesia, marking a pioneering approach in repairing such hernias in patients with heart failure and other health concerns.
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Pediatric diaphragmatic hernia induced by a rib osteochondroma.

Radiol Case Rep

June 2024

Department of Surgery, RadboudUMC, Nijmegen, The Netherlands.

Article Synopsis
  • Diaphragmatic hernias are rare in children, particularly when they are not present at birth.
  • A case study discusses an 11-year-old boy whose diaphragmatic hernia was caused by a rib osteochondroma, which was surgically removed, followed by repair of the diaphragm.
  • The importance of understanding acquired diaphragmatic hernias in children is highlighted to help recognize and address potential complications early on.
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Background: Sliding hiatal herniation (SHH) and gastroesophageal reflux (GER) commonly occur in French bulldogs. Wireless pH monitoring can quantitatively assess acidic GER in dogs affected by SHH.

Hypothesis/objectives: Measure acidic GER in French bulldogs with SHH, pre- and post-brachycephalic obstructive airway syndrome (BOAS) surgery, utilizing a wireless pH capsule (Bravo Calibration-free, Medtronic, Minnesota), and correlate with owners' observations of regurgitation.

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A rare entity of non-hiatal type transdiaphragmatic hernias, which must be clearly differentiated from paraoesophageal hernias, are the phrenic defects that bear the generic name of congenital hernias-Bochdalek hernia and Larey-Morgagni hernia, respectively. The etiological substrate is relatively simple: the presence of preformed anatomical openings, which either do or do not enable transit from the thoracic region to the abdominal region or, most often, vice versa, from the abdomen to the thorax, of various visceral elements (spleen, liver, stomach, colon, pancreas, etc.).

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Children with congenital diaphragmatic hernia suffer from long-term morbidity, including lung function impairment. Our study aims to analyze lung morphology characteristics via radiomic-assisted extraction of lung features in patients after congenital diaphragmatic hernia repair. 72 patients were retrospectively analyzed after approval by the local research ethics committee.

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Incidence and outcomes of post-hepatectomy diaphragmatic hernia: a systematic review.

HPB (Oxford)

December 2023

Hepato-Pancreato-Biliary Surgery and Liver Transplantation, Pôle des Pathologies Digestives, Hépatiques et de la Transplantation, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France; ICube, Université de Strasbourg, CNRS UMR 7357, Illkirch, France. Electronic address:

Article Synopsis
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Background: A diaphragmatic hernia is a defect or hole in the diaphragm through which abdominal contents can enter the chest cavity. Diaphragmatic hernias may be congenital (Morgagni hernia, Bochdalek hernia), a hiatal hernia, or acquired (iatrogenic and traumatic). Bochdalek's hernia typically occurs on the left side and rarely occurs in adults.

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A rare case of pseudomyxoma peritonei with Morgagni hernia.

Int Cancer Conf J

October 2023

Department of Digestive Surgery and Peritoneal Dissemination Center, Omi Medical Center, 1660, Yabase, Kusatsu, Shiga 525-8585 Japan.

Both pseudomyxoma peritonei and Morgagni hernias in adults are rare clinical conditions. A 70-year-old woman who was diagnosed with pseudomyxoma peritonei with Morgagni hernia underwent cytoreductive surgery and primary repair. Pseudomyxoma peritonei causes increased intra-abdominal pressure that may lead to acquired congenital diaphragmatic hernia when there is a local fragility in the diaphragmatic musculature.

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Diaphragmatic hernias can be congenital or acquired and manifest as a defect thus allowing abdominal contents to protrude into the thorax through the defect. Common presentations and symptoms can include shortness of breath, nausea, vomiting, and abdominal pain. Rarely colon or small bowel is interposed between the liver and the diaphragm, Chilaiditi sign.

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Article Synopsis
  • NR2F2 (also known as COUP-TF2) is a transcription factor crucial for mammalian development, with rare variants linked to conditions like congenital heart disease (CHD) and congenital diaphragmatic hernia (CDH).
  • This study reviews 17 new cases of individuals with heterozygous NR2F2 variants, confirming variability in clinical features, such as intrauterine growth restriction, heart defects, developmental delays, and various congenital anomalies.
  • The findings showcase the need for better characterization of the phenotypic range associated with NR2F2 variants and potential clinical guidelines for diagnosis and evaluation.
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Cases of adult liver transplant recipients with a postoperative right-side acquired diaphragmatic hernia are extremely rare. In this report, we describe an adult case of right-side acquired diaphragmatic hernia 15 years after living donor liver transplant. A 27-year-old woman was diagnosed with pancreatic insulinoma with multiple metastases in the liver.

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Acquired diaphragmatic hernia following a peritoneal biopsy for gastric cancer dissemination in the diaphragm: a case report.

Surg Case Rep

June 2023

Department of Gastric Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, 3-18-22 Honkomagome, Bunkyo-Ku, Tokyo, 113-8677, Japan.

Background: Acute diaphragmatic hernia is a life-threatening condition caused by prolapse of an abdominal organ into the thoracic cavity through a defect in the diaphragm. We present herein a case of acquired diaphragmatic hernia following a peritoneal biopsy for gastric cancer dissemination in the diaphragm.

Case Presentation: A 72-year-old, female patient presented with a complaint of acute abdomen 10 months after receiving a diagnosis of stage IV gastric cancer with peritoneal dissemination based on peritoneal biopsy findings during staging laparoscopy.

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