Download PDF
Thorac Cardiovasc Surg 2013; 61(03): 264-266
DOI: 10.1055/s-0031-1299586
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Congenital Diaphragmatic Hernia: Unusual Presentation in an Adult

Kareem Bedeir
1   Methodist DeBakey Heart and Vascular Center, Houston, Texas, United States
,
Wael Hassanein
2   Department of Cardiothoracic Surgery, University of Alexandria, Alexandria, Egypt
› Author Affiliations
Further Information

Publication History

11 September 2011

05 October 2011

Publication Date:
01 March 2012 (online)

    Permissions and Reprints All articles of this category

Abstract

Congenital abnormalities account to no more than 3% among live births. Among those, less than 0.003% involve the diaphragm. Congenital diaphragmatic hernias are mostly diagnosed early in life, later diagnosis is rare, especially if the hernia is asymptomatic. Foreign body ingestion is primarily an issue in pediatric medicine, with very rare adults ingesting foreign bodies, these adults are usually mentally impaired. We present a 26-year-old mentally intact patient, presenting to us with foreign body ingestion, that on chest radiographs and computerized tomography, prove to be residing in his intestines. The intestines are herniating into the left chest. To our knowledge, no similar case has been reported and published.

Keywords

diaphragm - imaging (all modalities) - chest
 

  • References

  • 1 Dillon E, Renwick M, Wright C. Congenital diaphragmatic herniation: antenatal detection and outcome. Br J Radiol 2000; 73 (868) 360-365
    PubMedGoogle Scholar
  • 2 Dalencourt G, Katlic MR. Abdominal compartment syndrome after late repair of bochdalek hernia. Ann Thorac Surg 2006; 82 (2) 721-722
    CrossrefPubMedGoogle Scholar
  • 3 Torfs CP, Curry CJ, Bateson TF, Honoré LH. A population-based study of congenital diaphragmatic hernia. Teratology 1992; 46 (6) 555-565
    CrossrefPubMedGoogle Scholar
  • 4 Yang W, Carmichael SL, Harris JA, Shaw GM. Epidemiologic characteristics of congenital diaphragmatic hernia among 2.5 million California births, 1989-1997. Birth Defects Res A Clin Mol Teratol 2006; 76 (3) 170-174
    CrossrefPubMedGoogle Scholar
  • 5 Lima M, Dòmini M, Libri M, Morabito A, Tani G, Dòmini R. Laparoscopic repair of Morgagni-Larrey hernia in a child. J Pediatr Surg 2000; 35 (8) 1266-1268
    CrossrefPubMedGoogle Scholar
  • 6 Thomas TV. Congenital eventration of the diaphragm. Ann Thorac Surg 1970; 10 (2) 180-192
    CrossrefPubMedGoogle Scholar
  • 7 Bagłaj M. Late-presenting congenital diaphragmatic hernia in children: a clinical spectrum. Pediatr Surg Int 2004; 20 (9) 658-669
    CrossrefPubMedGoogle Scholar
  • 8 Rodríguez Hermosa JI, Tuca Rodríguez F, Ruiz Feliu B , et al. [Diaphragmatic hernia of Morgagni-Larrey in adults: analysis of 10 cases]. Gastroenterol Hepatol 2003; 26 (9) 535-540
    CrossrefPubMedGoogle Scholar
  • 9 Naunheim KS. Adult presentation of unusual diaphragmatic hernias. Chest Surg Clin N Am 1998; 8 (2) 359-369
    PubMedGoogle Scholar