ADULT BOCHDALEK HERNIA - CLINICAL-FEATURES, MANAGEMENT AND RESULTS OF TREATMENT
ADULT BOCHDALEK HERNIA - CLINICAL-FEATURES, MANAGEMENT AND RESULTS OF TREATMENT
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DOI：
10.1007/bf02470876
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发表时间：
1991-01-01
期刊：
影响因子：
--
通讯作者：
KAPUR, B
中科院分区：
文献类型：
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作者：
THOMAS, S;KAPUR, B
我们在此提出2例成人Bochdalek疝。 自1958年以来共报告了51例，我们回顾了这些病例，并讨论了其临床特点，手术治疗和最终结果。 大多数这些患者表现为急性外科急症，缺乏对这种情况的认识导致38%的误诊。成年患者出现肠梗阻伴左肺体征和腹部不膨胀应引起对这种情况的怀疑。 胸部X线平片和胃肠道造影检查对确诊是必要的。 以前胸部X线检查正常不能排除腹股沟疝，因为缺损可能被脾脏或局限性囊堵塞。 绞窄的高发生率强调了早期诊断和及时手术治疗的必要性，手术治疗效果非常满意。
We herein present 2 cases of adult Bochdalek hernia. Only a total of 51 such cases have been reported since 1958, and we have reviewed these cases and discussed their clinical features, operative treatment and final outcome. The majority of these patients presented as acute surgical emergencies and a lack of awareness of this condition lead to an incorrect diagnosis in 38 per cent. Intestinal obstruction with left lung signs and a non-distended abdomen in an adult patient should arouse suspicion of this condition. A plain X-ray of the chest and contrast studies of the gastro-intestinal tract are necessary to confirm the diagnosis. A previous normal chest X-ray does not rule out a diaphragmatic hernia, as the defect may be plugged by the spleen or by the presence of a confining sac. The high incidence of strangulation emphasises the need for early diagnosis and prompt operative management which gives highly satisfactory results.