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

页码：111 / 113

页数：3

共 11 条

[1]

BURJANDA L, 2001, J CLIN GASTROENTEROL, V32, P155

[2] Abdominal compartment syndrome after late repair of Bochdalek hernia [J].

Dalencourt, Gregory ;

Katlic, Mark R. .

ANNALS OF THORACIC SURGERY, 2006, 82 (02) :721-722

[3]

FINGERHUT A, 1984, INT SURG, V69, P182

[4] 2 UNUSUAL CASES OF WANDERING SPLEEN REQUIRING SPLENECTOMY [J].

MELIKOGLU, M ;

COLAK, T ;

KAVASOGLU, T .

EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 1995, 5 (01) :48-49

[5] Prevalence of incidental Bochdalek's hernia in a large adult population [J].

Mullins, ME ;

Stein, J ;

Saini, SS ;

Mueller, PR .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 177 (02) :363-366

[6] Symptomatic Bochdalek hernia in an octogenarian [J].

Perch, P ;

Houck, WV ;

DeAnda, A .

ANNALS OF THORACIC SURGERY, 2002, 73 (04) :1288-1289

[7] Laparoscopic repair of congenital diaphragmatic hernias [J].

Richardson, WS ;

Bolton, JS .

JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A, 2002, 12 (04) :277-280

[8]

Robb Bruce W, 2006, Ann Thorac Surg, V81, pe9, DOI 10.1016/j.athoracsur.2005.11.027

[9] BOCHDALEK HERNIA OF DIAPHRAGM IN THE ADULT - DIAGNOSIS BY COMPUTED-TOMOGRAPHY [J].

SHIN, MS ;

MULLIGAN, SA ;

BAXLEY, WA ;

HO, KJ .

CHEST, 1987, 92 (06) :1098-1101

[10] VIDEO-ASSISTED THORACIC SURGICAL REPAIR OF A FORAMEN OF BOCHDALEK HERNIA [J].

SILEN, ML ;

CANVASSER, DA ;

KURKCHUBASCHE, AG ;

ANDRUS, CH ;

NAUNHEIM, KS .

ANNALS OF THORACIC SURGERY, 1995, 60 (02) :448-450

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