Congenital posterolateral diaphragmatic hernia in the adult

Kirkland, James A.

doi:10.1002/bjs.18004720103

Cited by 92 publications

(30 citation statements)

References 18 publications

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“…Not all CDD may be detected by fetal ultrasound, since some defects have been reported to present months or years after birth [Kirkland, 1959;Karapetian, 19791. However, most severe defects probably can be detected by midtrimester ultrasound examination.…”

Section: Discussion Prenatal Diagnosismentioning

confidence: 99%

“…Passarge, Halsey, and German [ 19681, Thomas, Stern, and Morris [ 19761, Pollack and Hall [ 19791, and Hauschild [ 19821 report normal radiographic studies. Reports of asymptomatic small defects [Bingham, 19591 and of large defects presenting in adulthood [Kirkland, 1959;Karapetian, 19791 emphasize the need for fluoroscopic examination of first-degree relatives. In our family No.…”

Section: Factors Complicating Genetic Analysesmentioning

confidence: 97%

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Familial diaphragmatic defects. Early prenatal diagnosis and evidence for major gene inheritance

et al. 1986

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Congenital diaphragmatic defect (CDD) is a relatively common malformation and results in neonatal death in over 50% of affected infants [Hamson and de Lorimier, 19811. Although most cases are sporadic, familial aggregation occurs, and controversy exists as to whether this is a "multifactorial" or autosomal recessive trait. Statistical genetic analysis of affected families has not been reported.We report on two new families with multiple occurrence of CDD. In one of the families, the lesion was detected in the fetus by ultrasound at 14 weeks, the earliest reported prenatal diagnosis of CDD.Segregation analysis of our data and of 17 additional multiplex families from the literature led to the conclusion that the autosomal recessive hypothesis cannot be rejected. Multifactorial determination is rejected by the data. The analyses are complicated by several factors, including phenotypic variability, probable genetic heterogeneity, and inadequate description of defects and studies of first-degree relatives. Recurrence risk figures based on a model of multifactorial determination give an underestimate of risk in multiplex families and should not be used until the major gene model is rejected or heterogeneity is clearly demonstrated.

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Section: Discussion Prenatal Diagnosismentioning

confidence: 99%

Section: Factors Complicating Genetic Analysesmentioning

confidence: 97%

Familial diaphragmatic defects. Early prenatal diagnosis and evidence for major gene inheritance

et al. 1986

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“…The decreased severity of respiratory symptoms may be due to a good respiratory compensatory mechanism. This difference in symptoms may delay the correct diagnosis [8]. Chest X-ray in such cases is diagnostic and at times upper gastro-intestinal contrast studies may be resorted to confirm the diagnosis [9].…”

Section: Discussionmentioning

confidence: 99%

Bochdalek Hernia in A Child

Sodhi

Gupta

et al. 2004

Medical Journal Armed Forces India

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“…As complicações da HDC são a obstrução intestinal, insuficiência cardiorrespiratória e isquemia intestinal. O tratamento cirúrgico está indicado na confirmação do diagnóstico, mesmo quando ocasional 6,7 . A via de acesso recomendada para herniorrafia diafragmática é a abdominal, pois permite, também, a correção da má rotação intestinal associada 8 .…”

Section: Discussionunclassified

Late-presenting congenital diaphragmatic hernia: a possible cause of sudden respiratory distress in children

Aita

Zanolla²,

Barcelos³

et al. 1999

J Pediatr (Rio J)

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ResumoObjetivos: Enfatizar que os defeitos congênitos do diafragma devem ser considerados no diagnóstico diferencial da dificuldade respiratória de instalação súbita em crianças.Métodos: Dois casos ilustrativos de crianças (com 2 anos de idade) com hernia diafragmática congênita de apresentação tardia que desenvolveram dificuldade respiratória aguda e foram tratados no Hospital Universitário de Santa Maria são relatados. A literatura médica foi revisada para identificar relatos de casos e outros artigos relacionados a hérnia diafragmática congênita de apresentação tardia. Uma pesquisa computadorizada foi realizada com o uso do banco de dados do MEDLINE para identificar as publicações editadas nos últimos 25 anos.Resultados: Em ambos os casos, a avaliação clínica inicial e as radiografias simples de tórax foram interpretadas erroneamente como outras doenças pleuropulmonares, tais como pneumotórax e/ ou pneumatocele. Uma das crianças foi submetida a drenagem de tórax emergencial sem melhora clínica. A ausência de sintomatologia respiratória prévia que justificasse esse tipo de patologia motivou uma investigação mais cuidadosa, com fibroendoscopia e seriografia gastrintestinal. Essa investigação subsequente mostrou que a causa era hérnia diafragmática congênita de apresentação tardia.Conclusão: Ainda que muitas hérnias diafragmáticas que se manifestam tardiamente tenham sintomas respiratórios crônicos, algumas se apresentam agudamente. Uma maior atenção é necessá-ria a fim de evitar confusão com outras patologias intratorácicas como pneumatocele e pneumotórax, para que um diagnóstico incorreto possa ser evitado. Uma interpretação errônea das radiografias é provável se a possibilidade de hérnia diafragmática não for considerada, o que poderia resultar em aumento da morbidade. A atonia gástrica pode ocorrer no período pós-operatório imediato.J. pediatr. (Rio J.). 1999; 75(2): 135-138: hérnia diafragmáti-ca, criança, insuficiência respiratória. AbstractObjective: To emphasize that congenital defects of the diaphragm should be considered in the differential diagnosis of sudden onset of respiratory distress in children.Method: Two illustrative cases of children (aged 2 years) with late presenting congenital diaphragmatic hernia who developed sudden respiratory distress and were managed at the University Hospital of Santa Maria are reported. The medical literature was reviewed to identify cases reports and other articles related to late presenting congenital diaphragmatic hernia. A computerized search was performed using the MEDLINE data base to identify papers published within the last 25 years.Results: In both cases the initial clinical examination and plain chest X-rays were misinterpreted as another pleuropulmonary disease like pneumothorax/pneumatoceles. One of the children underwent to emergency chest tube placement without clinical improvement. The absence of respiratory symptoms that could justify this kind of pathology motivated a more careful investigation, involving fiberoptical endoscopy and intestinal seriog...

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Congenital posterolateral diaphragmatic hernia in the adult

Cited by 92 publications

References 18 publications

Familial diaphragmatic defects. Early prenatal diagnosis and evidence for major gene inheritance

Familial diaphragmatic defects. Early prenatal diagnosis and evidence for major gene inheritance

Bochdalek Hernia in A Child

Late-presenting congenital diaphragmatic hernia: a possible cause of sudden respiratory distress in children

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