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Bochdalek hernia

Tripp CTT - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Bochdalek hernia

History: Known congenital right diaphragmatic hernia and occasional episodes of SOB, but normal PF tests. Request for assessment with UGI and SBFT was made to evaluate for evidence of malrotation and to determine the extent of herniated bowel within the thoracic cavity.

Findings: Radiologic findings: Bochdalek's hernia is seen as a posterolateral diaphragmatic interruption with the finding of fat herniating through the interruption above the diaphragm. Other intraperitoneal and/or retroperitoneal structures can also be seen herniating through the diaphragmatic interruption. Axial CT scan (with sagittal and/or coronal reformations occasionally) of the abdomen is commonly accepted as the best diagnostic test to evaluate for diaphragmatic hernias. Fluoroscopic Upper GI/SBF studies are helpful in defining the extent of intestinal herniation if present, and to evaluate for possible malrotation or strangulation.

Ddx: Differential Diagnosis: Congenital diaphragmatic hernia: Bochdalek, Morgagni, Paraesophageal hernia through esophageal hiatus. Traumatic diaphragmatic hernia. Diaphragmatic eventration.

Exam: Clinical Manifestations: Patients' with Bochdalek hernias typically present in infancy with pulmonary insufficiency. In the neonate, Bochdalek's hernia is one of the leading causes of respiratory distress and is one of the most common congenital anomalies of the thorax. Affected adults typically have no symptoms and are diagnosed incidentally on imaging studies.

No MeSH data available.


Axial CT image showing incidental finging of interruption of the inferior vena cava with hemi-azygous vein continuation. At this level there is reconstitution of the IVC.
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MPX2291_synpic15152: Axial CT image showing incidental finging of interruption of the inferior vena cava with hemi-azygous vein continuation. At this level there is reconstitution of the IVC.


Bochdalek hernia

Tripp CTT - MedPix

Axial CT image showing incidental finging of interruption of the inferior vena cava with hemi-azygous vein continuation. At this level there is reconstitution of the IVC.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2291&req=5

MPX2291_synpic15152: Axial CT image showing incidental finging of interruption of the inferior vena cava with hemi-azygous vein continuation. At this level there is reconstitution of the IVC.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Bochdalek hernia

History: Known congenital right diaphragmatic hernia and occasional episodes of SOB, but normal PF tests. Request for assessment with UGI and SBFT was made to evaluate for evidence of malrotation and to determine the extent of herniated bowel within the thoracic cavity.

Findings: Radiologic findings: Bochdalek's hernia is seen as a posterolateral diaphragmatic interruption with the finding of fat herniating through the interruption above the diaphragm. Other intraperitoneal and/or retroperitoneal structures can also be seen herniating through the diaphragmatic interruption. Axial CT scan (with sagittal and/or coronal reformations occasionally) of the abdomen is commonly accepted as the best diagnostic test to evaluate for diaphragmatic hernias. Fluoroscopic Upper GI/SBF studies are helpful in defining the extent of intestinal herniation if present, and to evaluate for possible malrotation or strangulation.

Ddx: Differential Diagnosis: Congenital diaphragmatic hernia: Bochdalek, Morgagni, Paraesophageal hernia through esophageal hiatus. Traumatic diaphragmatic hernia. Diaphragmatic eventration.

Exam: Clinical Manifestations: Patients' with Bochdalek hernias typically present in infancy with pulmonary insufficiency. In the neonate, Bochdalek's hernia is one of the leading causes of respiratory distress and is one of the most common congenital anomalies of the thorax. Affected adults typically have no symptoms and are diagnosed incidentally on imaging studies.

No MeSH data available.