Congenital Hemidiaphragmatic Agenesis Presenting as Reversible Mesenteroaxial Gastric Volvulus and Diaphragmatic Hernia: A Case Report

被引:6
|
作者
Sung, Hye Young [1 ]
Cho, Se Hyun [1 ]
Sim, Sung Bo [2 ]
Kim, Jin Il [1 ]
Cheung, Dae Young [1 ]
Park, Soo-Heon [1 ]
Han, Joon-Yeol [1 ]
Lee, Se Min [1 ]
Noh, Chee Ho [1 ]
Park, Yong-Bum [1 ]
Jung, Seung Eun [3 ]
Lee, Seon Hui [2 ]
Choi, Kyu Yong [1 ]
机构
[1] Catholic Univ Korea, Dept Internal Med, Div Gastroenterol, Seoul 150713, South Korea
[2] Catholic Univ Korea, Dept Thorac Surg, Seoul 150713, South Korea
[3] Catholic Univ Korea, Dept Radiol, Seoul 150713, South Korea
关键词
Congenital Hemidiaphragmatic Agenesis; Mesenteroaxial Gastric Volvulus; Hernia; Diaphragmatic; Spontaneous Resolution;
D O I
10.3346/jkms.2009.24.3.517
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 70-yr-old woman complained of left sided chest pain and non-bilious vomiting for four days after taking a gastric bloating agent for an upper gastrointestinal study. The chest radiography revealed gastric air-fluid levels and bowel loops in the left thoracic cavity. An emergency thoracotomy was performed. The abdominal organs (stomach, spleen, splenic flexure of the colon) were in the left thorax and the entire left hemidiaphragm was absent. There were no diaphragmatic remnants visible for reconstruction of the left diaphragm. We provided warm saline irrigation and performed a left lower lobe adhesiotomy. Thirteen days after surgery, the chest radiography showed improvement in the herniation but mild haziness remained at the left lower lung field. Here we present the oldest case of congenital diaphragmatic agenesis presenting with transient gastric volvulus and diaphragmatic hernia.
引用
收藏
页码:517 / 519
页数:3
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