Congenital right diaphragmatic hernias through posterolateral and anterolateral defects associated with extralobar pulmonary sequestration: A case report

Multiple diaphragmatic hernias in the unilateral diaphragm are extremely rare. The authors report a neonate with diaphragmatic hernias through two defects in the right diaphragm: a posterolateral defect without a hernia sac and an anterolateral defect with one. After excision of the anterolateral he...

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Bibliographic Details
Published in:Journal of pediatric surgery 1997, Vol.32 (1), p.101-102
Main Authors: Urushihara, Naoto, Nakagawa, Yoshikiyo, Kawashima, Ken, Fukazawa, Takuya, Watanabe, Yasuhiro, Todani, Takuji
Format: Article
Language:English
Subjects:
Biological and medical sciences
Bronchopulmonary Sequestration - complications
Bronchopulmonary Sequestration - surgery
Diaphragm - abnormalities
Diaphragm - pathology
Diaphragm - surgery
Epithelium - pathology
Female
Fibrosis
Hernia, Diaphragmatic - complications
Hernia, Diaphragmatic - surgery
Hernias, Diaphragmatic, Congenital
Humans
Infant, Newborn
Medical sciences
Peritoneum - pathology
Pleura - pathology
Pneumology
Respiratory system : syndromes and miscellaneous diseases
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Summary:Multiple diaphragmatic hernias in the unilateral diaphragm are extremely rare. The authors report a neonate with diaphragmatic hernias through two defects in the right diaphragm: a posterolateral defect without a hernia sac and an anterolateral defect with one. After excision of the anterolateral hernia sac, each defect was closed. Histology studies showed extralobar pulmonary sequestration in the removed hernia sac. The presence of sequestrated pulmonary tissue indicates the possibility of interference with the closure of the pleuroperitoneal canal and muscularization in the diaphragm, which may result in multiple defects.
ISSN:0022-3468
1531-5037
DOI:10.1016/S0022-3468(97)90106-8