• Title/Summary/Keyword: 횡격막 탈장

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Thoracoscopic Repair of a Right-sided Congenital Diaphragmatic Hernia -A case report - (흉강경을 이용한 우측 선천성 횡격막 탈장 수술 -1예 보고-)

  • Jo, Tae-Jun;Lee, Jae-Woong;Lee, Weon-Yong;Hong, Ki-Woo;Ahn, Su-Min;Kim, Kun-Il
    • Journal of Chest Surgery
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    • v.40 no.2 s.271
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    • pp.155-158
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    • 2007
  • A congenital diaphragmatic hernia, which mainly occurs in the left thorax, requires an emergency operative procedure during the neonatal periods. A right-sided congenital diaphragmatic hernia is rare, and often detected after the neonatal period due to the mild symptoms. Traditionally, the treatment repairs the diaphragmatic defect via a thoracotomy. However, good results of thoracoscopic repairs have been reported. Herein, the case of a 5-month-old girl, who received a thoracoscopic repair of a right-sided congenital diaphragmatic hernia, is reported.

Extrahepatic Biliary Obstruction Secondary to Traumatic Diaphragmatic Hernia in Dog (개에서의 횡격막 탈장에 의한 간외담도폐색)

  • Yoon, Young-Min;Jeong, Dong-In;Yeon, Seong-Chan;Lee, Hee-Chun
    • Journal of Veterinary Clinics
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    • v.31 no.6
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    • pp.531-534
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    • 2014
  • A 3-year-old intact mixed hunting dog was referred to Gyeongsang Animal Medical Center with the clinical signs of vomiting, dyspnea, anorexia. The dogs had traumatic history that wounded at abdominal wall during the wild boar hunting 2 week ago. The dogs was diagnosed as extrahepatic biliary tract obstruction (EHBO) secondary to traumatic hernia. Diagnosis was based on radiographic features of a diaphragmatic hernia on survey radiography, dilated bile duct in abdominal ultrasonography and complete recovery due to the return of displaced organs into the peritoneal cavity and repair of the diaphragmatic rent. Diagnostic imaging and surgical intervention may result in a favorable outcome in dog with post hepatic obstruction secondary to diaphragmatic hernia. This case emphasizes the strangulation of bile duct by diaphragmatic rupture could be the cause of EHBO.

Diaphragmatic Hernia as a Complication of Pedicled Omentoplasty (유경 대망이식술의 합병증으로 발생한 횡격막탈장)

  • 윤찬식;정재일;김재욱;구본일;이홍섭
    • Journal of Chest Surgery
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    • v.34 no.12
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    • pp.968-971
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    • 2001
  • Pedicled omentoplasty is effective in thoracic surgery, but it is associated with several postoperative complications. A case of diaphragmatic hernia as a complication of pedicled omentoplasty in a 65-year-old male is reported. Because aortoesophageal fistula occurred three months after the patch aortoplasty for mycotic aneurysm of descending thoracic aorta, he underwent ascending thoracic aorta to abdominal aorta bypass surgery with resection of thoracic aortic aneurysm and esophagorrhaphy with wrapping of the esophageal suture line and the stumps of aorta with pedicled omental flap. Three years after the operation, herniation of the stomach developed. The pedicled omental flap was ligated and divided, and the diaphragm defect was repaired.

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Delayed Presentation of Traumatic Diaphragmatic Hernia (지연성 외상성 횡격막 탈장)

  • Hwang, Kyung-Hwan;Hwang, Eui-Do;Oh, Duk-Jin;Kim, Jae-Hak;Na, Myung-Hoon;You, Jae-Hyun;Lim, Sung-Pyoung;Lee, Young
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.162-167
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    • 1998
  • Between January 1976 and March 1997, six patients with delayed presentation of traumatic diaphragmatic hernia occured among the 52 patients of traumatic diaphragm rupture, of whom four males and two females, five by blunt trauma and one by stab wound, one was right side and the rest were left side. In all patients, reduction of herniated organs was accomplished by thoracotomy or thoracotomy with extension to abdomen. Suspicion of the diaphragmatic ruture from the acute traumatic chest injured patient is important and we can use the videothoracoscopy for evaluation and treatment of the traumatic diaphragm rupture

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Repair of Morgagni Hernia through the Abdominal Approach - A case report - (복부접근법을 이용한 Morgagni Hernia의 교정 - 1예 보고 -)

  • Hwang, Jung-Joo;Kim, Do-Hyung;Lee, Yang-Deok;Kim, Kil-Dong
    • Journal of Chest Surgery
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    • v.40 no.10
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    • pp.722-725
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    • 2007
  • Morgagni's hernia constitutes about 3% of all the congenital diaphragm hernias. It is usually asymptomatic and it is frequently found coincidentally during routine diagnostic testing in adulthood. It is usually diagnosed by simple chest X-ray, but when this condition is without intestinal herniation, then chest CT or other modalities are necessary. Operative repair is desirable when there is the risk of strangulation of the intestine. The trans-thoracic or trans-abdominal approaches are possible to treat this malady. We report here on one case for which we successfully used a laparoscopic approach to treat this problem.

Intrathoracic Ectopic Liver - A case report - (흉강내 이소성 간 - 1예 보고 -)

  • Yoo, Dong-Gon;Park, Chong-Bin;Chang, Yong-Jin;Eom, Dae-Woon;Kim, Young-Ki;Kim, Chong-Wook
    • Journal of Chest Surgery
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    • v.40 no.11
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    • pp.802-804
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    • 2007
  • Although intrathoracic liver in association with a congenital diaphragmatic hernia has been well documented, the finding of intrathoracic ectopic liver tissue in the presence of an intact diaphragm is an extremely rare congenital anomaly. We have experienced a case of intrathoracic ectopic liver without any diaphragmatic hernia. A 37-year-old woman was admitted for the treatment of an incidentally detected right lung mass, A chest computed tomography scan revealed a right lower lobe lung mass close to the diaphragm, and this was suspicious for bronchial carcinoid tumor. Upon surgery, 2 round solid masses $3.5{\times}3.5 cm$ and a $2.0{\times}2.0 cm$ in size were noted, with their bottoms attached to the diaphragm dome. The masses were completely resected. Histologically, they were confirmed to be intrathoracic ectopic livers. The patient had an uncomplicated postoperative course.

Congenital Thoracic Ectopic Kidney associated with Diaphragmatic Hernia in a 15-month-old Boy (선천성 횡격막 탈장과 동반된 이소성 흉강내 신장 1례)

  • Yang, Eu Jeen;Jeong, Yeon Jun;Hwang, Pyoung Han;Lee, Dae-Yeol;Kim, Min Sun
    • Childhood Kidney Diseases
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    • v.18 no.2
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    • pp.106-110
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    • 2014
  • Congenital thoracic ectopic kidney is a very rare developmental disorder and the rarest type of ectopic kidney. This condition is usually asymptomatic and detected incidentally on routine chest radiography. Most cases of thoracic ectopic kidney develop in adulthood and during the neonatal period, and congenital thoracic ectopic kidney rarely develops in children. Most patients are asymptomatic, and the treatment depends on the diagnosis. Herein, we report a rare case of ectopic thoracic kidney associated with a diaphragmatic hernia in a 15-month-old male infant, who presented with periodic severe irritability. The thoracic ectopic kidney was detected as a mass in the right base of the chest on routine chest radiography.

Traumatic Complete Renal Avulsion Herniating into the Left Pleural Cavity -A case report- (외상성 횡경막 탈장을 통한 신장손상 -1예 보고-)

  • Chon Soon-Ho;Lee Chul Burm
    • Journal of Chest Surgery
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    • v.38 no.5 s.250
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    • pp.400-402
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    • 2005
  • Herniation of the kidney through a traumatic diaphragmatic rupture in itself is rare. However, complete avulsion of the renal pedicle implies not only a more rare event, but also a surgical emergency. We report a case of a patient with complete avulsion of renal vessels and ureter of an intrathoracic kidney herniated through a diaphragmatic rupture caused by blunt trauma. Prompt diagnosis with a computer tomographic scan and immediate surgery saved the patient's life.