Bloody Pleural Effusion Secondary to Infarction of Omentum through a Non-traumatic Diaphragmatic Hernia

Schreier, Leonard; Cutler, Robert M.; Saigal, Vijay

doi:10.1378/chest.93.6.1314a

Cited by 5 publications

(4 citation statements)

References 3 publications

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“…However, pleural effusion rarely occurs secondary to infarction of the greater omentum after strangulation by a Bochdalek's hernia (14). Our patient is only the second such case after that reported by Schreier et al (14).…”

Section: Discussionmentioning

confidence: 49%

Late onset of right Bochdalek's hernia with strangulation of the omentum

Shimizu¹,

Hira²,

Hirooka

et al. 2002

Acta Paediatrica

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Section: Discussionmentioning

confidence: 49%

Late onset of right Bochdalek's hernia with strangulation of the omentum

Shimizu¹,

Hira²,

Hirooka

et al. 2002

Acta Paediatrica

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“…There have been reports of Bochdalek's hernia involving the liver, spleen and stomach in which pleural effusion occurred (3,(10)(11)(12)(13), while traumatic diaphragmatic hernia involving the greater omentum can also be associated with pleural effusion (9). However, pleural effusion rarely occurs secondary to infarction of the greater omentum after strangulation by a Bochdalek's hernia (14). Our patient is only the second such case after that reported by Schreier et al (14).…”

Section: Discussionmentioning

confidence: 51%

Late onset of right Bochdalek's hernia with strangulation of the omentum

Shimizu¹,

Hira²,

Hirooka

et al. 2002

Acta Paediatrica

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We report a case of bloody pleural effusion and infarction of the greater omentum caused by a non‐traumatic diaphragmatic hernia with a late presentation. A 15‐y‐old boy with Down's syndrome developed abdominal pain and vomiting, as well as an elevated serum level of C‐reactive protein. Chest roentgenograms showed a right‐sided pleural effusion and computed tomography revealed a right diaphragmatic hernia. Barium enema confirmed the diagnosis. An operation revealed a right Bochdalek's hernia with strangulation of the greater omentum in the right pleural cavity. Conclusion: Diaphragmatic hernia should be considered in patients with pleural effusion, abdominal pain and vomiting.

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“…Almost all massive pleural effusions with diaphragmatic hernia contained a strangulated omentum [1,6]. Schreier et al reported a case of hemorrhagic pleural effusion from infarcted omentum in a non-traumatic diaphragmatic hernia [4]. Several cases were reported on World War II and Vietnam veterans [1,5].…”

Section: Discussionmentioning

confidence: 99%

Locked lung by looped hernia: a case report

Rahman

Panda

2009

Cases Journal

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BackgroundLarge pleural effusions are usually symptomatic. We report a patient with asymptomatic massive left sided pleural effusion with left lung collapse secondary to a traumatic diaphragmatic hernia.Case presentationA 44 year old male presented with recurrent pleural effusions over six weeks. His pleural effusion was first diagnosed incidentally on a chest X-ray after a fall. Extensive diagnostic studies were unyielding for the etiology of the effusion. A diagnostic and therapeutic video assisted thoracoscopy revealed a diaphragmatic hernia with inflamed, incarcerated omentum. After hernia repair there was no recurrence.ConclusionThis case underscores the obscure presentation of an incarcerated diaphragmatic hernia presenting as massive recurrent pleural effusions.

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Bloody Pleural Effusion Secondary to Infarction of Omentum through a Non-traumatic Diaphragmatic Hernia

Cited by 5 publications

References 3 publications

Late onset of right Bochdalek's hernia with strangulation of the omentum

Late onset of right Bochdalek's hernia with strangulation of the omentum

Late onset of right Bochdalek's hernia with strangulation of the omentum

Locked lung by looped hernia: a case report

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