Document Detail


Posterolateral Bochdalek diaphragmatic hernia in adults.
MedLine Citation:
PMID:  21951119     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Bochdalek hernias (BHs) are produced in the posterolateral area of the diaphragm. They are generally congenital, appearing in childhood, but are also detected in asymptomatic adult patients seeking medical attention for other reasons. Computed tomography (CT) or magnetic resonance imaging (MRI) is used for the correct diagnosisof the hernia type and for its localization, facilitating its management and the choice of treatment. We describe three cases of Bochdalek hernia, two on the right side and one bilateral, which was larger on the right than left side. All of these hernias contained only omental fat. In one patient, the right kidney was adjacent to the diaphragmatic defect but remained within the abdomen. The patients showed no symptoms and were not surgically treated. Examination by multislice CT with the possibility of coronal and sagittal reconstruction should be considered the standard method for diagnosing this entity. MRI in T1 is highly valuable to evaluate fat-containing chest lesions. The incidental finding of BH in asymptomatic adults is increasing, thanks to the wider application of new imaging techniques.
Authors:
J M Garófano-Jerez; J D López-González; M A Valero-González; M Valenzuela-Barranco
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva     Volume:  103     ISSN:  1130-0108     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007566     Medline TA:  Rev Esp Enferm Dig     Country:  -    
Other Details:
Languages:  ENG     Pagination:  484-491     Citation Subset:  -    
Vernacular Title:
Posterolateral Bochdalek diaphragmatic hernia in adults.
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