BACKGROUND Congenital diaphragmatic hernia (CDH) is a congenital abnormality, rare in adults with a frequency of 0.17-6%. Diaphragmatic rupture is an infrequent consequence of trauma, occurring in about 5% of severe closed thoraco-abdominal injuries. Clinical presentation ranges from asymptomatic cases to serious respiratory or gastrointestinal symptoms. Diagnosis depends on anamnesis, clinical...

PURPOSE To evaluate the perinatal results for neonates with congenital diaphragmatic hernia diagnosed prenatally. METHOD We reviewed data from 38 cases of congenital diaphragmatic hernia diagnosed prenatally from January 1995 to December 2003 in the Fetal Medicine Unit of the Department of Obstetrics and Gynecology, São Paulo University Medical School. The main data analyzed were gestational ...

BACKGROUND Large pleural effusions are usually symptomatic. We report a patient with asymptomatic massive left sided pleural effusion with left lung collapse secondary to a traumatic diaphragmatic hernia. CASE PRESENTATION A 44 year old male presented with recurrent pleural effusions over six weeks. His pleural effusion was first diagnosed incidentally on a chest X-ray after a fall. Extensive...

BACKGROUND Asymptomatic diaphragmatic hernia is generally thought to be rare among adults. We present two different types of asymptomatic diaphragmatic hernia diagnosed with computed tomography (CT) and discuss treatment strategies. CASE PRESENTATION Case 1: A 37-year-old woman was diagnosed with catamenial pneumothorax in the right diaphragm. Partial resection of the diaphragm and lung was p...

Congenital diaphragmatic hernia / hiatal (Congenital Diaphragmatic Hernia CDH) alters normal cardiopulmonary physiology in neonates or pediatric patients due to pressure from the abdomen into thoracic cavity. The open surgical and laparoscopic approaches pose challenges for anesthesiologist team because of complications CDH surgery itself. We present a case successful anesthetic management 2-ye...

The widespread use of meshes for hiatal hernia repair has emerged in the era of laparoscopic surgery, although sporadic cases of mesh augmentation of traumatic diaphragmatic rupture have been reported. The indications for biologic meshes in diaphragmatic repair are ill defined. This systematic review aims to investigate the available evidence on the role of biologic meshes in diaphragmatic rupt...

diaphragmatic hernia, secondary to transhiatal esophagectomy, appears to be a relatively infrequent diagnosis. patients may be asymptomatic or present with various symptoms. diagnosis of this condition requires a high index of suspicion. the most common cause of diaphragmatic hernia is widened esophageal hiatus during surgery; therefore, narrowing the hiatus can prevent conduit herniation. here...

Surgeons should be aware of diaphragmatic hernia in obese patients who have undergone coronary artery bypass grafting (CABG) using a gastroepiploic artery graft (GEA), even if the antegastric route is utilized.We report a case of diaphragmatic hernia, which occurred 88 months after initial CABG. A 64-year-old obese man underwent surgical repair of a diaphragmatic hernia. At initial surgery, the...

We report herein a technique for the repair of recurrent diaphragmatic hernia after repair of diaphragmatic rupture. Although chest roentgenography and computed tomography in a patient who presented with postprandial abdominal pain demonstrated a left intrathoracic intestinal shadow, the hernia was disregarded. To repair a diaphragmatic rupture along with intrathoracic adhesions, we performed a...

conclusions recurrence after repair of tdh is a less reported condition (with only two published articles) and little is known regarding the factors responsible for this. laparoscopy is an excellent diagnostic tool, but currently management is probably best performed via an open technique using heavy non-absorbable suture material to prevent recurrence. long term follow up of these patients sho...