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3 results on '"Diaphragm hernia"'

1. Congenital dacryocystocele: Prenatal MRI findings

Author

Eva I. Rubio, Leann E. Linam, Bülent Yazici, Beth M. Kline-Fath, Zeynep Yazici, Maria A. Calvo-Garcia, Uludağ Üniversitesi/Tıp Fakültesi/Göz Hastalıkları Anabilim Dalı., Uludağ Üniversitesi/Tıp Fakültesi/Radyoloji Anabilim Dalı., Yazıcı, Zeynep, Yazıcı, Bülent, AAA-5384-2020, and AAI-2303-2021

Subjects
Dacryocystocele, Male, Reproducibility of results, medicine.medical_specialty, Diaphragm hernia, Lacrimal apparatus diseases, Prenatal diagnosis, Pediatrics, Lacrimal Duct, Lacerations, Dacryocystitis, Article, Radiology, nuclear medicine & medical imaging, Fetus, Magnetic resonance imaging, Nasolacrimal duct obstruction, Prevalence, Medicine, Humans, Radiology, Nuclear Medicine and imaging, Sonographic diagnosis, Central nervous system disease, Neuroradiology, Ohio, Risk assessment, Priority journal, business.industry, Obstetrics, fungi, food and beverages, medicine.disease, Prenatal MRI, Nuclear magnetic resonance imaging, Retrospective study, Sensitivity and specificity, Risk factors, Pediatrics, Perinatology and Child Health, Fetal diagnosis, Female, Radiology, Echography, business, Treatment indication, Mri findings, Cystocele, Human
Abstract

Congenital dacryocystocele can be diagnosed prenatally by imaging. Prenatal MRI is increasingly utilized for fetal diagnosis. To present the radiological and clinical features of seven fetuses with congenital dacryocystocele diagnosed with prenatal MRI. The institutional database of 1,028 consecutive prenatal MR examinations performed during a period of 4 years was reviewed retrospectively. The cases of congenital dacryocystocele were identified by reading the report of each MRI study. The incidence of dacryocystocele diagnosed with prenatal MRI was 0.7% (n = 7/1,028). The dacryocystocele was bilateral in three fetuses. Mean gestational age at the time of diagnosis was 31 weeks. The indication for prenatal MRI was the presence or the suspicion of central nervous system abnormality in six fetuses and diaphragmatic hernia in one. Dacryocystocele was associated with an intranasal cyst in six of ten eyes. Prenatal sonography revealed dacryocystocele in only two of seven fetuses. Of eight eyes with postnatal follow-up, four did not have any lacrimal symptoms. Prenatal MRI can delineate congenital dacryocystocele more clearly and in a more detailed fashion than ultrasonography. Presence of dacryocystocele was symptomatic in only 50% of our patients, supporting that prenatal diagnosis of dacryocystocele might follow a benign course.

Published
2010

2. Traumatic injuries of the diaphragm: overview of imaging findings and diagnosis.

Author

Hammer MM, Raptis DA, Mellnick VM, Bhalla S, and Raptis CA

Subjects
Diagnosis, Differential, Humans, Diaphragm diagnostic imaging, Diaphragm injuries, Tomography, X-Ray Computed, Wounds and Injuries diagnostic imaging
Abstract

Injuries to the diaphragm muscle occur in penetrating and severe blunt trauma and can lead to delayed hernia formation. Computed tomography is the mainstay in the diagnosis of these injuries, which may be subtle at presentation. Imaging findings differ between blunt and penetrating trauma. Key features in blunt trauma include diaphragm fragment distraction and organ herniation because of increased intra-abdominal pressure. In penetrating trauma, herniation is uncommon, and the trajectory of the object is critical in making the diagnosis of diaphragm injury in these patients. Radiologists must keep a high index of suspicion for injury to the diaphragm in cases of trauma to the chest or abdomen.

Published
2017
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3. The feasibility and efficacy of laparoscopic repair for chronic traumatic diaphragmatic herniation: introduction of a novel technique with literature review.

Author

Liao CH, Chu CH, Wu YT, Fu CY, Hsieh FJ, Wang SY, Hsu YP, and Kang SC

Subjects
Adult, Aged, Chronic Disease, Feasibility Studies, Female, Humans, Laparoscopy, Laparotomy, Male, Middle Aged, Retrospective Studies, Thoracotomy, Treatment Outcome, Hernia, Diaphragmatic, Traumatic surgery
Abstract

Purpose: Traumatic diaphragm rupture is a rare trauma that is easily overlooked. A missed diagnosis would result in chronic traumatic diaphragmatic herniation (CTDH). Surgical repair is the standard treatment that is conventionally performed by laparotomy or thoracotomy. Laparoscopic repair has been reported, but its efficacy remains controversial. In this study, we present our novel technique and experience of laparoscopic repair of CTDH and analyze the feasibility and effectiveness of this procedure., Methods: We conducted a prospective collection with retrospective review of patients with CTDH treated at Chang Gung Memorial Hospital, Taiwan, from 2000 to 2013. The demographic characteristics, surgical procedure, perioperative results, length of hospital stay (HLOS) and follow-up were record and analyzed., Results: There were 114 patients with traumatic diaphragm hernia, and 24 of them had CTDH with a mean age of 54.9 ± 13.3 years. The HLOS was 15.08 ± 8.17 days. Regarding the surgical method used, 19 patients had open surgery, and 5 patients underwent laparoscopic surgery. The demographic distribution, trauma mechanism, location and size of CTDH were comparable. In the laparoscopic group, the patients had a shorter median HLOS (6 days) than in the open surgery group (16 days; p = 0.002). There was no mortality or recurrence in both groups., Conclusions: In this study and literature review, patients had laparoscopic repair with a smooth recovery. Laparoscopy provides good surgical exposure, allowing easy repositioning of the herniated content and a smooth repair of the defect without the morbidity of laparotomy. For CTDH, with caution, we can apply this technique with an acceptable result.

Published
2016
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