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Laparoscopic dual mesh repair of a diaphragmatic hernia of Bochdalek in a symptomatic elderly patient

机译:腹腔镜双网修复有症状的老年患者Bochdalek diaphragm肌疝

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摘要

Bochdalek hernia is a congenital posterolateral diaphragmatic defect. It is usually diagnosed in newborns and children; the mortality rate is high due to further congenital anomalies such as pulmonary hypoplasia and pulmonary hypertension. In adulthood, the diagnosis is often incidental, while sometimes it is related to gastrointestinal or respiratory symptoms, or to herniated viscera complications. Thus, surgical treatment is advocated. We herein report a case of an 86-year-old woman with dyspnea and dysphagia. After the diagnosis by barium enema and CT scan of the herniated stomach and the greater omentum through a left side foramen of Bochdalek, she underwent a successful laparoscopic dual mesh repair and was discharged on the 6th postoperative day.
机译:Bochdalek疝是先天性后外侧diaphragm肌缺损。通常在新生儿和儿童中被诊断出。由于进一步的先天异常,例如肺发育不全和肺动脉高压,死亡率很高。在成年期,诊断常常是偶然的,而有时则与胃肠道或呼吸道症状或内脏疝的并发症有关。因此,提倡手术治疗。我们在此报告了一名呼吸困难和吞咽困难的86岁女性的病例。通过钡剂灌肠和通过Bochdalek左侧孔的疝胃和大网膜的CT扫描诊断后,她成功进行了腹腔镜双网修复,并于术后第6天出院。

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