La hernia diafragmática congénita es un defecto estructural anatómico que permite el paso de estructuras abdominales hacia el tórax, con una consecuente . RESUMEN. La hernia diafragmática congénita (HDC) es una malformación rara, habitualmente unilateral y más frecuente del lado izquierdo. La HDC bilateral. PDF | Introduction. The Congenital Diaphragmatic Hernia (CDH) is an anatomical structural defect, which allows passage of the abdominal viscera into the chest.
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Intestinal obstruction por hernia diaphragmatic posterolateral derecha incarcerada. A diaphragmatic hernia is a visceral protrusion through diaphragmatic defect.
What is congenital diaphragmatic hernia?
Visceral migration occurs from the abdomen to the chest due to the different pressures between the two compartments. Diaphragmatic hernias are classified, according to their origin, dafragmatica congenital and acquired.
Among the first ones we can mention: Bochdalek hernia, Morgagni hernia and peritoneopericardial hernia. Among the acquired ones we can distinguish between traumatic or surgical injuries of the phrenic nerve and diaphragmatic injuries 1.
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The protective effect of hepatic mass could explain a smaller amount of injuries on the right 2. Traumatic diaphragmatic rupture is observed in the 0. There is a case of an elderly woman tapped right incarcerated diaphragmatic hernia. She came to the emergency department after a week evolution of vomiting uncontrollably. In the exploration, we find respiratory failure secondary to pulmonary restriction, presenting a diffuse abdominal discomfort with deep palpation, no masses or visceromegalies.
Hernia Diafragmática Congénita
In the present analytical The x-ray shows occupation of the right hemithorax. Given these findings a thoraco-abdominal CT scan Fig. Due to suspicion of complicated right diaphragmatic hernia she was urgently operated, performing a half upper midline laparotomy with the finding of diadragmatica right posterolateral diaphragmatic defect of 4cm in diameter through which they move into the chest the distal stomach, omentum and right colon move into the chest Fig.
We proceed to the enlargement of the rupture and the reduction of the content seeing that these structures are incarcerated but there are no signs of vascular compromise.
Diaphragmatic repair is performed by double non-absorbable monofilament suture. The postoperative was satisfactory.
Seven months after surgery the patient remains asymptomatic.
Right traumatic herjia of the diaphragm is rare and the late manifestation of the same as incarcerated hernia is even rarer. Due to clinical-radiological suspicion, surgical indication is required as there is an evolutionary risk of promoted abdominal viscera volvulus 2. The presence of abdominal injuries in a high percentage of input recommends an abdominal approach, by means of which problems are solved and the abdominal diaphragm is repaired.
When there is a right diaphragm rupture, a thoracic approach is preferred, and if the treatment is delayed, many authors advise a thoracic approach to take off the adhesions to the thoracic viscera.
However, controversy exists when the patient has acute symptoms years after suffering the injury, where an abdominal approach facilitates the assessment of the feasibility and possible resection of the recently strangled bodies 6. Dafragmatica Hospitalario Xeral Calde. Manual de la AEC ; Traumatic rupture of the diaphragm: Pitfalls in the diagnosis of blunt diaphragmatic injury.
Am J Surg ; Rupture of the diaphragm after blunt trauma. Cir Esp ; Dear Difaragmatica, A diaphragmatic hernia is a visceral protrusion through diaphragmatic defect. Discussion Right traumatic rupture of the diaphragm is rare and the late manifestation of the same as incarcerated hernia is even rarer.