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Right-Sided Diaphragmatic Hernia


Presentation

  • METHOD: We present the case of a 54-year-old victim of a motor vehicle crash who presented with a delayed diagnosis of a right-sided traumatic diaphragmatic hernia. By using a 4-port technique and intracorporeal suturing, the hernia was repaired.[ncbi.nlm.nih.gov]
Sepsis
  • Abstract Group B streptococcal sepsis was associated with delayed presentation of an unsuspected right-sided diaphragmatic hernia in two neonates.[ncbi.nlm.nih.gov]
Pain
  • […] diagnosis Hernia, Diaphragmatic/surgery Humans Laparotomy/methods Liver Transplantation/adverse effects* Living Donors* Male Pain, Postoperative/diagnosis Pain, Postoperative/etiology* Pain, Postoperative/surgery Recurrence Tomography, X-Ray Computed[ncbi.nlm.nih.gov]
Inflammation
  • Increased intrathoracic pressure caused by mechanical ventilation coupled with an abnormal lung compliance due to inflammation may have resulted in the delayed herniation.[ncbi.nlm.nih.gov]
Streptococcal Infection
  • The relationship between a delayed-onset diaphragmatic hernia and a group B streptococcal infection is still unknown.[ncbi.nlm.nih.gov]
Localized Edema
  • Abstract The term "hydrops fetalis" denotes generalized fetal edema, a condition that differs from localized edema confined to head, extremities, or body cavities.[ncbi.nlm.nih.gov]
Pleural Effusion
  • Abstract We report a case of a right-sided diaphragmatic hernia in a premature twin, which presented in the 2nd week of life with a persistent pleural effusion following a bowel perforation due to necrotizing enterocolitis.[ncbi.nlm.nih.gov]
Respiratory Distress
  • The latter condition should be considered when early-onset group B streptococcal disease is followed by increasing respiratory distress, right-sided pleural effusion and partial or complete opacification of the right side of the thorax.[ncbi.nlm.nih.gov]
Pneumonia
  • Abstract A case of right-sided diaphragmatic hernia following group B streptococcal pneumonia and sepsis is reported herein. The clinical course was characteristic. The position of the right hemidiaphragm was initially normal.[ncbi.nlm.nih.gov]
Cough
  • Abstract A 75-year-old woman who presented with a cough was found on investigation to have a large right-sided diaphragmatic hernia with intrathoracic herniation of the colon, small bowel, and right kidney.[ncbi.nlm.nih.gov]
Abdominal Pain
  • Publication type, MeSH terms Publication type Case Reports MeSH terms Abdominal Pain/diagnostic imaging Abdominal Pain/etiology* Abdominal Pain/surgery Adult Diagnosis, Differential Follow-Up Studies Hernia, Diaphragmatic/complications* Hernia, Diaphragmatic[ncbi.nlm.nih.gov]
Abdominal Distension
  • METHODS: Our patient is a 42-y-old gravid woman who, at 27 wk gestation, was admitted to the gynecology service with a 2-d history of right upper quadrant abdominal pain, right shoulder pain, abdominal distension, and obstipation.[ncbi.nlm.nih.gov]
Bilious Vomiting
  • He had presented with cough for one month and respiratory difficulty for one-week duration and history of bilious vomiting two days prior to admission.[ncbi.nlm.nih.gov]
Upper Abdominal Pain
  • Twenty-eight months later, he presented with recurrent right upper abdominal pain. Radiographic workup revealed a right-sided DH. He underwent laparotomy and primary repair of the diaphragmatic defect.[ncbi.nlm.nih.gov]
Vomiting
  • He had presented with cough for one month and respiratory difficulty for one-week duration and history of bilious vomiting two days prior to admission.[ncbi.nlm.nih.gov]
Hypertension
  • At 1 year of age, an angiographic examination was performed, which revealed pulmonary hypertension and abnormal vessel communications where the right pulmonary flow returned to the herniated liver and the right lung also received an arterial supply from[ncbi.nlm.nih.gov]
Jaundice
  • He required antimicrobial therapy and mechanical ventilation and initially did well, although he exhibited jaundice and cholestasis.[ncbi.nlm.nih.gov]
Right Shoulder Pain
  • METHODS: Our patient is a 42-y-old gravid woman who, at 27 wk gestation, was admitted to the gynecology service with a 2-d history of right upper quadrant abdominal pain, right shoulder pain, abdominal distension, and obstipation.[ncbi.nlm.nih.gov]
Shoulder Pain
  • METHODS: Our patient is a 42-y-old gravid woman who, at 27 wk gestation, was admitted to the gynecology service with a 2-d history of right upper quadrant abdominal pain, right shoulder pain, abdominal distension, and obstipation.[ncbi.nlm.nih.gov]
Hydrops Fetalis
  • Abstract The term "hydrops fetalis" denotes generalized fetal edema, a condition that differs from localized edema confined to head, extremities, or body cavities.[ncbi.nlm.nih.gov]
Confusion
  • Localized fetal edema may be confused with hydrops fetalis. Fetal edema of the head and neck may result from obstruction of the superior vena cava by abnormal mediastinal structures.[ncbi.nlm.nih.gov]

Workup

  • Radiographic workup revealed a right-sided DH. He underwent laparotomy and primary repair of the diaphragmatic defect. Seven months after the repair, the patient remains well and free from symptoms, with a normal chest X-ray.[ncbi.nlm.nih.gov]
Normal Chest X-Ray
  • Seven months after the repair, the patient remains well and free from symptoms, with a normal chest X-ray. Right-sided DH is rare but may occur after living donor liver transplant.[ncbi.nlm.nih.gov]
Pleural Effusion
  • Abstract We report a case of a right-sided diaphragmatic hernia in a premature twin, which presented in the 2nd week of life with a persistent pleural effusion following a bowel perforation due to necrotizing enterocolitis.[ncbi.nlm.nih.gov]

Treatment

  • Diaphragmatic hernia should be added to the list of potential complications of liver transplantation for prompt diagnosis and appropriate treatment.[ncbi.nlm.nih.gov]

Etiology

  • […] diagnosis Hernia, Diaphragmatic/surgery Humans Laparotomy/methods Liver Transplantation/adverse effects* Living Donors* Male Pain, Postoperative/diagnosis Pain, Postoperative/etiology* Pain, Postoperative/surgery Recurrence Tomography, X-Ray Computed[ncbi.nlm.nih.gov]

Pathophysiology

  • Combination of factors related to the surgical techniques and patient characteristics might explain the pathophysiology behind the diaphragmatic hernias following liver transplantation.[ncbi.nlm.nih.gov]

Prevention

  • The need for a high index of suspicion and critical evaluation of appropriate investigations to prevent diagnostic delay and optimize management in patients with traumatic diaphragmatic injury is emphasized.[ncbi.nlm.nih.gov]

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