The diaphragm: anatomic, pathologic, and radiologic considerations.

Panicek, David M.; Benson, Carol B.; Gottlieb, Ronald H.; Heitzman, E. Robert

doi:10.1148/radiographics.8.3.3289099

Cited by 68 publications

(51 citation statements)

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“…Bilgisayarlı tomografide, Bochdalek hernisi, diyafragma eventrasyonundan veya lobülasyondan diyafragma kasının devamlılığı ile ayırt edilir. Bochdalek hernisinde standart teşhis yönte-mi, çok kesitli koronal ve sagittal görüntülerinin rekonstrükte edildiği toraks bilgisayarlı tomografidir (21).…”

Section: Bochdalek Herni̇si̇unclassified

Congenital Diaphragmatic Hernias: Occurence in Adults

Öztürk¹,

Küpeli²

2014

Toraks Cer Bult

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Congenital diaphragmatic hernias are often diagnosed late since they present with non-specific respiratory and gastrointestinal symptoms in adulthood. Congenital defects of the diaphragm are the result of merging of the diaphragm or closure of the diaphragm with developmental disorders of the bowel. Congenital diaphragmatic hernias are classified as Bochdalek (back-side), Morgagni (pre-retrosternal) and septal transversum defects. This article discusses Bochdalek and Morgagni hernias in adulthood as they are observed more common in clinical practice. Key words: Diaphragm, hernia, Bochdalek, Morgagni Özet Doğumsal diyafram hernileri, genellikle nonspesifik solunum ve gastrointestinal semptomlarla karşımıza çıktığından erişkin dönemde geç tanı alırlar. Diyaframın doğumsal bozuklukları, diyaframın birleşme defektlerinin sonucudur veya diyaframın kapanma sorunları ile birlikte olan barsak gelişim bozukluklarına bağlıdır. Doğumsal diyafragma hernileri Bochdalek (arka-yan), Morgagni (ön-retrosternal) ve septum transversum defekti şeklinde sınıflandırılır. Bu makalede klinik uygulamada daha sık rastlanılan, erişkinlerdeki Bochdalek ve Morgagni hernilerine değinilecektir.

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Section: Bochdalek Herni̇si̇unclassified

Congenital Diaphragmatic Hernias: Occurence in Adults

Öztürk¹,

Küpeli²

2014

Toraks Cer Bult

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“…Most congenital diaphragmatic hernias (CDHs) appear in the neonatal period with respiratory distress and can be lifethreatening (6,9,10). However, cases have been reported outside this age group, usually in adults with non-specific or no symptoms (5,(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

“…In Spain, the frequency (14) of a hernia or diaphragmatic agenesis diagnosis in the first three days of life was reported to be 2. 15 (2,9,15), to the extent that CDH and BH have become virtually synonymous (4). The estimated prevalence of BH ranges from 0.17 to 12.7 per cent (2,5,7,9,10,16), with the higher values being detected in CT-based studies.…”

Section: Introductionmentioning

confidence: 99%

“…15 (2,9,15), to the extent that CDH and BH have become virtually synonymous (4). The estimated prevalence of BH ranges from 0.17 to 12.7 per cent (2,5,7,9,10,16), with the higher values being detected in CT-based studies. HBs are more frequent on the left (50-90%) than on the right side (6,11), which has been attributed to the earlier closing of the right pleuriperitoneal canal during normal development (2,9) and the protective effects of the liver on the right side (6).…”

Section: Introductionmentioning

confidence: 99%

“…BHs can affect both sides of the body, in the region where the lateral arcuate ligaments of the diaphragm curve, covering the quadratus lumborum muscles, and laterally fix on either side of the twelfth rib and medially to the transverse process of L 1 (9,10,18).…”

Section: Introductionmentioning

confidence: 99%

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Posterolateral Bochdalek diaphragmatic hernia in adults

Garófano-Jerez¹,

López-González

Valero-González

et al. 2011

Rev. esp. enferm. dig.

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Bochdalek hernias (BHs) are produced in the posterolateral area of the diaphragm. They are generally congenital, appearing in childhood, but are also detected in asymptomatic adult patients seeking medical attention for other reasons. Computed tomography (CT) or magnetic resonance imaging (MRI) is used for the correct diagnosis of the hernia type and for its localization, facilitating its management and the choice of treatment. We describe three cases of Bochdalek hernia, two on the right side and one bilateral, which was larger on the right than left side. All of these hernias contained only omental fat. In one patient, the right kidney was adjacent to the diaphragmatic defect but remained within the abdomen. The patients showed no symptoms and were not surgically treated. Examination by multislice CT with the possibility of coronal and sagittal reconstruction should be considered the standard method for diagnosing this entity. MRI in T1 is highly valuable to evaluate fat-containing chest lesions. The incidental finding of BH in asymptomatic adults is increasing, thanks to the wider application of new imaging techniques.

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