Bochdalek hernia (Acute gastric obstruction and laparoscopic approach)英文文献资料.docVIP

Vol.3, No.10, 609-612 (2011) Health doi:10.4236/health.2011.310102 Bochdalek hernia (Acute gastric obstruction and laparoscopic approach) Rafael Diaz-Nieto , Alvaro Naranjo-Torres 1* 2 1 Department of General and Digestive Surgery, “Virgen de la Victoria” University Hospital, Málaga, Spain; * Corresponding Author: rafadiaznieto@ 2 Department of General and Digestive Surgery, “Infanta Margarita” Hospital, Cabra-Córdoba, Spain. Received 3 August 2010; revised 20 September 2010; accepted 28 October 2010. ABSTRACT in developing is the right one and also, liver in the left side project the development of hernia across little sacks. From a clinical point of view, 90% are diagnosed in childhood and usually asociated with pulmonary hypop- lasia due to the compression of the lung. This situation carry on acute hemodinamic and respiratory failure that require treatment. Those in the left side develope chronic symptoms depending on the size [4]. Diagnosis of Bochdalek hernia in adulthood is extre- mely rare and most cases founded in the literature were diagnosed as acute gastrointestinal problems compared to cardiorrespiratory symptoms, unlike what happens in childhood [5]. Commonly, we found patients who are free of symptoms for years, and suddenly or related to minimal effort or trauma they start with an acute clinical problem. Severe trauma or recent surgery should su- ggest the presence of a traumatic diaphragmatic rupture. Many diagnostic steps may be useful, as a single x-ray or a gastrointestinal study [5]. But up to date helicoidal tommogrphy seems to be the technique of choice; and magnetic resonance has not already shown benefits ex- cept in cases of doubt [6]. Due to in adulthood we are used to find an emergency problem and the differential diagnosis with traumatic rupture of the diaphragm is not always possible, this clinical