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Query: UMLS:C0019270 (hernia)
 15,856 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We present two cases of Morgagni hernia complicated by the clinical picture of intestinal sub-occlusion and gastric strangulation, respectively. Photographs are offered and it is emphasized that plain film radiology followed by barium studies suffices for its diagnosis. An interesting aspect examined in the discussion is the surgical procedure; we used the subxiphoid approach in our cases with excellent results.
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PMID:[Morgagni's diaphragmatic hernia. Report of 2 cases]. 274 May 76

A case of intrapericardial diaphragmatic hernia caused by blunt trauma is reported. The patient presented with gastric outlet obstruction symptoms. The diagnosis was made pre-operatively by means of plain chest radiography and barium swallow examination. Laparotomy was the surgical approach used. The diaphragmatic defect was too large to close primarily and a Marlex mesh-graft was used. Hydropneumopericardium, pericarditis and cardiac arrhythmias occurred postoperatively and the patient died despite efforts to treat these complications. Because of the rarity of this condition and possible fatal consequences, the important aspects of intrapericardial diaphragmatic hernia are reviewed.
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PMID:Intrapericardial diaphragmatic hernia. A case report. 276 32

A previously undescribed type of congenital abdominal wall hernia is described. Presentation was with the symptoms and signs of subacute large bowel obstruction. The diagnosis was suggested by barium enema and confirmed at laparotomy.
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PMID:Intestinal obstruction secondary to a congenital pre-iliac hernia. 278 Apr 60

Thirteen newborns with congenital cystic adenomatoid malformation and six with congenital lobar emphysema were operated on between 1970 en 1988. Eighteen children had more or less severe dyspnoea and (or) tachypnoea, one child presented with respiratory tract infection. The diagnosis could be made on the chest X-ray in most instances. However, diagnostic problems arose in the differentiation between congenital cystic adenomatoid malformation and congenital diaphragmatic hernia. Four times a laparotomy was done for presumed diaphragmatic hernia followed by thoracic surgery in the same session. In two children barium contrast studies of the gastrointestinal tract were done to exclude diaphragmatic hernia. Treatment consisted of lobectomy in 15 cases and segmental resection in four. Histological examination confirmed the clinical diagnosis in all instances. The results of the operations were excellent in all patients. No short- or long-term complications occurred.
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PMID:[Lung operations in dyspneic newborn infants]. 281 85

The author reports the results of his experience in reconstructive surgery of the abdominal wall and of statics disorders of the pelvic organs on colo-rectal functional disturbances. Hernias and mostly eventration of the anterior or lumbar abdominal wall diminish or suppress the abdominal pressure aiding in the emptying of the rectum. Large dacron sub-peritoneal prostheses provide strength and permit an effective muscular contraction. Pelvic statics disorders cause painful manifestations, difficult to analyze, and the patients are torn between gynecologist and proctologist: these are painful symptoms of the Douglas' cul-de-sac. Examination must be based on objective signs obtained from barium enema during defecation. The treatment rests on a high fixation of pelvic organs and obliteration of the cul-de-sac.
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PMID:Abdominal wall and colo-rectal pathology. 294 89

An asymptomatic 22-year-old man was evaluated for a persistent left lower lobe infiltrate. Barium enema and upper gastrointestinal series revealed colon and small bowel freely mobile in the left thorax. CT confirmed absence of the left hemidiaphragm. This is the first reported case of total absence of a hemidiaphragm in an adult, and extends the clinical spectrum of diaphragmatic defects where strangulation of hernia contents may occur , the asymptomatic presentation of complete absence of the hemidiaphragm with the unimpeded movement of abdominal contents suggests that no treatment is necessary.
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PMID:Unilateral absence of the diaphragm in an asymptomatic adult. 319 76

A prospective study was undertaken to identify mucosal lesions that might cause chronic blood loss anemia in patients with large diaphragmatic hernia. Patients with one-third or more of the stomach above the diaphragm on barium x-ray were examined by a gastroscopist who was given no clinical information. A total of 109 patients were included: 55 with anemia and 54 with a large hernia but no anemia. The incidence of esophagitis and peptic ulcer did not differ significantly in the anemic and nonanemic groups. Linear gastric erosions were found on the crests of mucosal folds at or near the level of the diaphragm in 23 anemic patients and 13 without anemia (p less than 0.05). Blood on the surface of a linear erosion was found in 14 anemic patients and 4 without anemia (p less than 0.05). We suggest that these erosions are due to trauma and can cause chronic blood loss anemia in hernia patients.
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PMID:Linear gastric erosion. A lesion associated with large diaphragmatic hernia and chronic blood loss anemia. 348 79

A case of transdiaphragmatic duodenal duplication in a premature infant is presented. Vertebral abnormalities, which have invariably accompanied this disorder in reported cases so far, were characteristically absent. Therefore, the initial tentative diagnosis was right-sided diaphragmatic hernia. Barium examination was helpful in preoperative diagnosis.
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PMID:Transdiaphragmatic duodenal duplication in a premature infant. 357 99

A case is presented of a patient with a congenital hernia of Morgagni that was diagnosed after a motorcycle accident. These may be confused with a traumatic diaphragmatic hernia. The lateral chest film is helpful in the differential diagnosis. The barium enema is usually diagnostic.
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PMID:Hernia of Morgagni in a trauma patient. 372 28

This nineteen-year retrospective review was designed to evaluate diaphragmatic hernias due to blunt thoracoabdominal trauma in a series of 50 patients. Motor-vehicle accidents were the most frequent cause. The diagnosis was made immediately after injury in 34 patients (acute hernias), but delayed from two months to 30 years in 16 (chronic hernias). Two patients, with multiple associated injuries, died soon after admission and diagnosis was made at necropsy. The nature of injury, the physical findings and the plain chest roentgenograms suggested a traumatic diaphragmatic hernia in most of the remaining acutely injured patients. All patients with chronic hernias had suggestive or suspicious abnormalities on chest roentgenograms; however, appropriate upper gastrointestinal tract and barium enema studies were of utmost importance for the correct diagnosis. Reduction of herniated viscera and repair of diaphragmatic defect were generally accomplished through a laparotomy in acute hernias, whereas thoracotomy was the preferred approach in delayed instances. There were four postoperative deaths, three with severe multiple associated injuries and one with respiratory failure.
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PMID:Diaphragmatic hernias due to blunt thoracoabdominal trauma. 404 10


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