Bilateral large bochdalek hernias in an adult CT demonstration

Bochdalek hernia is a congenital posterior diaphragmatic defect resulting from failure of the retroperitoneal canal membrane to fuse with the dorsal esophageal mesentery and the body wall. A recent computed tomography study indicated that these defects frequently can be identified on routine chest a...

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Bibliographic Details
Published in:Clinical imaging 1995, Vol.19 (1), p.40-42
Main Authors: Sener, R.N., Tugran, C., Yorulmaz, I., Dagdeviren, A., Orguc, S.
Format: Article
Language:English
Subjects:
Adipose Tissue - diagnostic imaging
Biological and medical sciences
Computed tomography
Diaphragm
Diaphragmatic
Female
Hernia
Hernia, Diaphragmatic - diagnostic imaging
Hernias, Diaphragmatic, Congenital
Humans
Medical sciences
Middle Aged
Pneumology
Pulmonary hypertension. Acute cor pulmonale. Pulmonary embolism. Pulmonary vascular diseases
Retroperitoneal Space
Tomography, X-Ray Computed
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Description
Summary:Bochdalek hernia is a congenital posterior diaphragmatic defect resulting from failure of the retroperitoneal canal membrane to fuse with the dorsal esophageal mesentery and the body wall. A recent computed tomography study indicated that these defects frequently can be identified on routine chest and abdominal images, and classified them as small, medium, and large, the large ones being identifiable on five or more contiguous axial scans consisting of 1-cm-thick sections. Although the overall prevalence of Bochdalek hernias is 6%, and that of bilateral hernias is 0.9%, to date only a few patients with unilateral or bilateral large hernias have been reported. This article describes an adult with asymptomatic, bilateral, large Bochdalek defects containing herniated retroperitoneal fat.
ISSN:0899-7071
1873-4499
DOI:10.1016/0899-7071(94)00023-6