成年男性Bochdalek疝1例报告

IF 0.1 Q4 MEDICINE, GENERAL & INTERNAL Annals of King Edward Medical University Lahore Pakistan Pub Date : 2023-07-04 DOI:10.21649/akemu.v29i1.5354
Fakiha Bukhari, H. H. Ahmed, Kanwal Irshad, M. Jamaluddin
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引用次数: 0

摘要

Bochdalek疝是由于胸膜腹膜在出生前未能完全融合,导致左侧后膈缺损,腹部器官可通过该缺损疝入胸腔。这是一种先天性疾病,常见于婴儿和儿童。它很少出现在成年人身上。我们报告一例25岁的成年男性,表现为2天的剧烈上腹部和左侧疑病症疼痛史和1个月的无血性、非抛射性呕吐史。腹部x光片显示小肠梗阻(SBO),膈膜外翻和纵隔移位。手术入路后,发现左侧后外侧膈有Bochdalek疝缺损。患者经剖腹手术及补片修复成功,无围手术期及术后并发症。
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An Adult Male with Bochdalek Hernia– A Case Report
Bochdalek hernia results due to failure of pleuroperitoneal membranes to fuse completely before birth, resulting in a defect in left posterior diaphragm through which abdominal organs can herniate into thorax. It is a congenital condition and is common in infants and children. It is rarely present in adults. We present a case of a twenty five year old adult male presenting with a 2 day history of sharp epigastric and left hypochondriac pain and 1 month history of non-bloody, non-projectile vomiting. An X-ray Abdomen was done showing signs of small bowel obstruction (SBO) with eventration of diaphragm and mediastinal shift. Upon surgical approach, a Bochdalek hernia defect was seen in left posterolateral diaphragm. Patient was successfully treated with laparotomy and mesh repair without any perioperative and postoperative complications.
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发文量
75
审稿时长
12 weeks
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