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    Go to the top of the page   ID: 20040127114642 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Bochdalek's Hernia with pleuroperitoneal covering
    Dirk Schaper,P. Bochdalek's Hernia with pleuroperitoneal covering. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040127114642


     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are MRI-images available for this case. [ MRI ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, P. Göbel (Kinderchirurgie St. Barbara-Krankenhaus Halle/S.), S. Barth (Krankenhaus Paul-Gerhardt-Stift Lutherstadt Wittenberg)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    3 Months  

     
     Pediatric Radiology CasesGender:

    Female  

     
     Pediatric Radiology CasesRegion-Organ:

    Abdomen-Other and unknown  

     
     Pediatric Radiology CasesMost likely etiology:

    congenital  

     
     Pediatric Radiology CasesHistory:

    At the age of 3.5 months, there was a short disturbance in breathing while lying on the stomach (tachypnea). Otherwise, the child was completely healthy. Presentation to pediatrician, X-rays were performed on the 1st and 2nd day of admission in the pediatric department. This was delayed due to a pertussis infection.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Thorax ap, Half-spherical opacity over the left diaphragm medially. Lung is unremarkable.





    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Thorax lateral, Curved area in the hind diaphragmal area.





    MRI 1 <- view MRI 1

    MRI 1: T1-weighted, coronal: Obvious curving of a parenchymal organ in the thorax.





    MRI 2 <- view MRI 2

    MRI 2: T1-weighted, coronal: Anatomic identification of the curved structure as the spleen.





    MRI 3 <- view MRI 3

    MRI 3: T1-weighted, saggital: Curving in the hind diaphragmal area.





    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: laparoscopic intraoperative situation, Spleen is located in a pocket.



    OP-Situs 2 <- view OP-Situs 2

    OP-Situs 2: laparoscopic intraoperative situation, after luxation of the spleen.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Relaxatio diaphragmatis  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    After further diagnostic imaging, the diagnosis of a Bochdalek's hernia was suspected.
    For further evaluation of a surgical indication, a diagnostic laparoscopy was performed. There, one could see that the spleen was laying in a hind, medial pocket. After luxation of the spleen, the diagphragmal hernia could be inspected and pleuroperitoneal closure to the thorax could be documented. Because of the small size of the findings and the missing connection to the thorax, as well as the missing reproduceability of the clinical symptoms, there was no further surgical treatments performed.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    Mei-Zahav M, Solomon M, Trachsel D, 3. Medline: Medline
    Langer JC.br />Bochdalek diaphragmatic hernia: not only a neonatal disease
    Arch Dis Child. 2003 Jun; 88(6): 532-5

    2. Medline: Medline
    Drahovsky P, Dankovcik J, Bodnarova A, Drahovska I, Sabovcik R.
    Congenital diaphragmatic hernia manifesting after the neonatal period
    Rozhl Chir. 1999 Mar; 78(3): 123-6

    3. Medline: Medline
    Langer JC.
    Congenital diaphragmatic hernia
    Chest Surg Clin N Am. 1998 May; 8(2): 295-314  

     
     Pediatric Radiology CasesKeywords:

    Diaphragmatic hernia, Diaphragmal hernia, Bochdalek, Bochdalek's Hernia, pleuroperitoneal covering, Diaphragm hernia, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper,P. Bochdalek's Hernia with pleuroperitoneal covering. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040127114642  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Abdomen-Other and unknown
    or in the region: Abdomen
    or in the tissue/organ: Other and unknown
    or with the etiology: congenital
     
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] There are MRI-images available for this case. [ MRI ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Bochdalek's Hernia with pleuroperitoneal covering
    Dirk Schaper,P. Bochdalek's Hernia with pleuroperitoneal covering. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040127114642


     

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    Bochdalek's Hernia with pleuroperitoneal covering
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search P. Göbel in Medline P. Göbel (6)   
    Search S. Barth in Medline S. Barth (1)   

    Bochdalek's Hernia with pleuroperitoneal covering  
     
    Bochdalek's Hernia with pleuroperitoneal covering
    Dirk Schaper,P. Bochdalek's Hernia with pleuroperitoneal covering. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040127114642


     

    Which diagnosis have other collegues guessed?


    • Relaxatio diaphragmatis
      Votes: 3 (25 %)


    • Bochdalek's hernia
      Votes: 4 (33 %)


    • Diaphragmal aplasia on the left side
      Votes: 1 (8 %)


    • Morgagni's hernia
      Votes: 3 (25 %)


    • Pericard cyst
      Votes: 0 (0 %)


    • Lung sequester
      Votes: 1 (8 %)



        Total answers: 12

     
    Bochdalek's Hernia with pleuroperitoneal covering
    Dirk Schaper,P. Bochdalek's Hernia with pleuroperitoneal covering. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040127114642


     

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    Bochdalek's Hernia with pleuroperitoneal covering
    Dirk Schaper,P. Bochdalek's Hernia with pleuroperitoneal covering. PedRad [serial online] vol 4, no. 1.
    URL: www.PedRad.info/?search=20040127114642


     




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