Hernia diafragmática complicada con rotura de víscera hueca dentro de la cavidad torácica

Abstract

Complicated diaphragmatic hernia with hollow viscus rupture in thoracic cavity Introduction: Diaphragmatic hernias (DH) are a rare condition in adult patients. Most of the cases are asymptomatic findings in imaging studies. Rarely do they present as complicated cases. Clinical cases: We report two clinical cases of complicated DH, one of Bochdalek and another with history of a penetrating thoracic trauma two years before, both with hollow viscus rupture in the thoracic cavity.

Quality of life in patients with advanced cancer according to place of care in a referral hospital

“…Existen varios estudios sobre calidad de vida, pero pocos utilizan instrumentos validados en cuidados paliativos (13) . La encuesta EORTC QLQ C15-PAL es una versión reducida y práctica de la encuesta original que evalúa calidad de vida exclusivamente en cuidados paliativos, es relativamente nueva, pero viene demostrando validez y buena confiabilidad.…”

Hernia de Bochdalek: A Challenging Diagnosis

“…The resulting consequence is a weak anatomical zone that allows the protrusion of the intra-abdominal organs towards the thoracic cage through the diaphragm [6]. They are located 80%-90% on the left side and the defect is usually about 2 cm, located just above the adrenal gland [7]. The content of the Bochdalek hernia varies depending on the affected side: on the right, the liver, right kidney and fat are involved; however, when the defect is left, it may contain the digestive tract, spleen, liver, left kidney, pancreas or omentum [1].…”

“…The treatment of diaphragmatic hernias is surgical. The approach can be done by laparotomy, thoracotomy or combined, depending on the presence or absence of complications [7]. The repair of the hernia can be done by transthoracic or abdominal route, currently it can be with minimal invasion or in a conventional way.…”