Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report

Kennedy, Robert A.; Donaghy, Alastair; Ahmad, Jubayer; McManus, Kieran; Clements, W. D. B.

doi:10.1007/s11845-008-0140-4

Cited by 6 publications

(9 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…CT scan of her abdomen diagnosed Bochdalek hernia, and strangulation of the spleen in the left hemithorax. This resulted in left‐sided portal hypertension, hypersplenism, and thrombocytopenia 12 …”

Section: Discussionmentioning

confidence: 99%

Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

Salajegheh,

Gilani,

Yazdi

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

Key Clinical MessageBochdalek hernia is a rare condition characterized by the displacement of abdominal contents into the thoracic cavity. Due to the nonspecific nature of symptoms, prompt diagnosis, and management by emergency care providers can be challenging. Treatment of a Bochdalek hernia typically involves the reduction in the herniated contents back into the abdominal cavity. In this case report, we present the case of a 1‐year‐old girl who presented to the emergency department with a fever and bicytopenia. Further evaluation revealed a Bochdalek hernia, which was successfully managed with surgical intervention. This case highlights the importance of considering a Bochdalek hernia in the differential diagnosis of patients presenting with recurrent nonspecific symptoms (fever and bicytopenia).

show abstract

Section: Discussionmentioning

confidence: 99%

Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

Salajegheh,

Gilani,

Yazdi

et al. 2023

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…25,26 So far, about 100 cases of BH in adults have been reported in the literature, but the exact prevalence is unknown. [9][10][11][12][13][14][15][16] In the studies on the corpse, its prevalence was reported 0.014-0.05%. 4,6 The main symptom of BH in adults is chronic abdominal pain, but it can cause obstruction, strangulation, and rupture of the viscera, requiring urgent intervention.…”

Section: Discussionmentioning

confidence: 99%

“…So far, about 100 cases of BH in adults have been reported in the literature, but the exact prevalence is unknown. [9][10][11][12][13][14][15][16] Here we wish to report a case of large BH with displacement of the kidney, spleen and part of the small intestine and colon into the left hemi-thorax in a 50-year-old man.…”

Section: Introductionmentioning

confidence: 99%

Abdominal viscera in the thoracic cavity: a case of large Bochdalek hernia in an adult

Zeinalpour,

Ebrahimibagha,

Ehsani

et al. 2023

JHVRV

View full text Add to dashboard Cite

Introduction: Bochdaleck hernias (BH) are a congenital defect in the diaphragm's postero lateral part that may cause the abdominal viscera's protrusion into the chest cavity. This type of hernia is rare in adults. Most cases are referred to the emergency department with gastrointestinal obstruction and visceral strangulation symptoms. Case presentation: A 50-year-old man was referred to the emergency department complaining of abdominal pain in the left upper quadrant, intermittent vomiting, and pain in the left hemithorax from one day ago. We found a large diaphragmatic hernia on the left side during evaluation, which causes intra-abdominal organ shift to the left hemithorax. The patient underwent surgery for diaphragmatic herniorrhaphy. Conclusion: Congenital diaphragmatic Bochdaleck hernias are rare and are associated with nonspecific symptoms in adults. They may be symptom-free during the patient's life as in our case. It is necessary to investigate more cases and long-term follow-ups of patients, to improve the diagnosis and treatment of these patients.

show abstract

“… 11 A similar clinical scenario whereby a patient underwent splenectomy to decompress sinistral portal hypertension has been reported. 6 Splenectomy provided sufficient space to suture the defect in the diaphragm, but we could have attempted splenopexy because hypersplenism might be relieved after CDH repair. Clinical evidence on splenectomy for hypersplenism in such a complicated situation is lacking.…”

Section: Discussionmentioning

confidence: 99%

“… 3 – 5 Because of volvulus or incarceration, herniated abdominal organs can suffer from hemodynamic disorders such as hypersplenism or even avascular necrosis. 6 Here, we describe a 10-year-old male patient who presented with asymptomatic CDH along with hypersplenism. All descriptions and discussions of this case did not involve human subjects research, thus no ethical approval was required.…”

Section: Introductionmentioning

confidence: 95%

Hypersplenism Associated With Late-Presenting Congenital Diaphragmatic Hernia

Shen²,

Dong³

et al. 2016

Medicine

View full text Add to dashboard Cite

show abstract

Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report

Abstract: Congenital diaphragmatic hernias may present in the adult. Their presentation is variable, and they may produce life-threatening complications.

Cited by 6 publications

References 9 publications

Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

Bochdalek hernia presenting as recurrent fever and bicytopenia in a pediatric patient: A rare case report

Abdominal viscera in the thoracic cavity: a case of large Bochdalek hernia in an adult

Hypersplenism Associated With Late-Presenting Congenital Diaphragmatic Hernia

Contact Info

Product

Resources

About