Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report

被引：5
|
作者：
Kennedy, R. [1 ]
Donaghy, A. [1 ]
Ahmad, J. [1 ]
McManus, K. [2 ]
Clements, W. D. B. [1 ]
机构：
[1] Royal Victoria Hosp, Dept Upper Gastrointestinal Surg, Belfast BT12 6BA, Antrim, North Ireland
[2] Royal Victoria Hosp, Dept Thorac Surg, Belfast BT12 6BA, Antrim, North Ireland
来源：
IRISH JOURNAL OF MEDICAL SCIENCE | 2009年 / 178卷 / 01期
关键词：
Bochdalek; Hernia; Hypersplenism; Portal hypertension; Splenectomy; REPAIR; ADULT;
D O I：
10.1007/s11845-008-0140-4
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A congenital diaphragmatic hernia (Bochdalek's hernia) rarely presents in adulthood. We present the case of a 21-year-old woman with thrombocytopenia secondary to hypersplenism due to left-sided (sinistral) portal hypertension. This portal hypertension was caused by strangulation of the spleen within a Bochdalek's hernia. Subacute gastric volvulus compounded by portal hypertensive gastropathy resulted in her presentation with acute haematemesis. Congenital diaphragmatic hernias may present in the adult. Their presentation is variable, and they may produce life-threatening complications.
引用
收藏
页码：111 / 113
页数：3
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