With the advent of newer antibiotics and improved surgical procedures, the early diagnosis and prompt treatment of pulmonary abscess assumes an increased importance. Since the prognosis in this disease is closely correlated with the promptness and accuracy of diagnosis, it has become imperative for the internist and surgeon, working In close cooperation, to be thoroughly f amiliar with the vari...

n engl j med 358;18 www.nejm.org may 1, 2008 1969 Editor’s note: We received 1610 responses, from 85 countries, for this medical mystery. Sixty-two percent of respondents were physicians in practice, 21% were physicians in training, and 12% were medical students. Of the respondents, 65% identified some type of diaphragmatic hernia on the radiograph, which revealed a retrocardiac gastric shadow ...

The occurrence of respiratory failure as a result of a large diaphragmatic hernia is a well-described entity in infants with congenital hernias. On reviewing the literature, the authors did not find a similar clinical presentation in the adult population. They report the case of an elderly patient with a large hiatus hernia who developed recurrent episodes of life-threatening respiratory failur...

We experienced two cases involving the simultaneous presence of cholelithiasis, hiatal hernia, and umbilical hernia. Both patients were female and overweight (body mass index of 25.0-29.9 kg/m(2)) and had a history of pregnancy and surgical treatment of cholelithiasis. Additionally, both patients had two of the three conditions of Saint's triad. Based on analysis of the pathogenesis of these tw...

CONGENITAL DIAPHRAGMATIC HERNIAS (CDHS) OCCUR MAINLY IN TWO LOCATIONS: the foramen of Morgagni and the more common type involving the foramen of Bochdalek. Hiatal hernia and paraesophageal hernia have also been described as other forms of CDH. Pulmonary hypertension and pulmonary hypoplasia have been recognized as the two most important factors in the pathophysiology of congenital diaphragmatic...