2002
DOI: 10.1111/j.1651-2227.2002.tb01675.x
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Late onset of right Bochdalek's hernia with strangulation of the omentum

Abstract: 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… Show more

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Cited by 6 publications
(2 citation statements)
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“…On the para-clinical level, chest X-ray or better with a naso-gastric tube can be used to diagnose [8]. This diagnosis can be confirmed by oeso-gastro-duodenal transit, which shows an opacification of the stomach in the thorax, but this examination fails to underestimate the degree of hernia [9]. Scanning and scintigraphy of the liver and spleen are useful for diagnosis in right diaphragmatic hernias [10].…”
Section: Discussionmentioning
confidence: 99%
“…On the para-clinical level, chest X-ray or better with a naso-gastric tube can be used to diagnose [8]. This diagnosis can be confirmed by oeso-gastro-duodenal transit, which shows an opacification of the stomach in the thorax, but this examination fails to underestimate the degree of hernia [9]. Scanning and scintigraphy of the liver and spleen are useful for diagnosis in right diaphragmatic hernias [10].…”
Section: Discussionmentioning
confidence: 99%
“…In one series, 18% of the cases of CDH were subjected to insertion of chest drain. 1 The diagnosis can be confirmed by contrast follow through study 8 but it may underestimate the extent of herniation due to spontaneous reduction in the erect posture by the hydrostatic pressure of the barium. Computed tomography and liver-spleen scintigraphy seem to be the best diagnostic options in children with right-sided CDH.…”
Section: Discussionmentioning
confidence: 99%