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一名白血病患儿以胸腔初始局部脂肪浸润为表现的博赫dalek疝。 (注:这里“博赫dalek”可能是特定医学术语的特定名称,比如可能是某种特定类型的先天性膈疝,具体准确含义可能需结合更详细医学背景确定,因为单纯从这个词看不太像常见准确的中文表述,可能是音译之类的。)

Bochdalek hernia presenting with initial local fat infiltration of the thoracic cavity in a leukemic child.

作者信息

Kang Zhen, Min Xiangde, Wang Liang

机构信息

Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science & Technology, Wuhan 430030, PR China.

出版信息

Radiol Case Rep. 2016 Nov 29;12(1):200-203. doi: 10.1016/j.radcr.2016.10.017. eCollection 2017 Mar.

DOI:10.1016/j.radcr.2016.10.017
PMID:28228910
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5310253/
Abstract

Local fat infiltration of the thoracic cavity is a rare initial presentation of Bochdalek hernia. We report a case of Bochdalek hernia in a child with leukemia that demonstrated initial local fat infiltration of the thoracic cavity on computed tomography scan and progressed to an obvious diaphragmatic hernia on subsequent follow-up. We suggest that initial local fat infiltration of the thoracic cavity on computed tomography scan may indicate a potential diaphragmatic hernia.

摘要

胸腔局部脂肪浸润是Bochdalek疝罕见的初始表现。我们报告一例患有白血病的儿童Bochdalek疝病例,该病例在计算机断层扫描中显示出胸腔初始局部脂肪浸润,并在随后的随访中发展为明显的膈疝。我们认为计算机断层扫描中胸腔初始局部脂肪浸润可能提示潜在的膈疝。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb0/5310253/ffbfbec95795/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb0/5310253/e6f7720b9ce7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb0/5310253/ffbfbec95795/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb0/5310253/e6f7720b9ce7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/feb0/5310253/ffbfbec95795/gr2.jpg

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本文引用的文献

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[Current Management of Congenital Diaphragmatic Hernia].[先天性膈疝的当前管理]
Kyobu Geka. 2015 Jul;68(8):676-83.
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Unusual Diaphragmatic Hernias Mimicking Cardiac Masses.酷似心脏肿物的罕见膈疝
J Cardiovasc Ultrasound. 2015 Jun;23(2):107-12. doi: 10.4250/jcu.2015.23.2.107. Epub 2015 Jun 26.
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Gastric volvulus through morgagni hernia: an easily overlooked emergency.经莫尔加尼疝的胃扭转:一种易被忽视的急症。
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Posterolateral Bochdalek diaphragmatic hernia in adults.成人后外侧 Bochdalek 膈疝。
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Symptomatic Bochdalek hernia in an adult.成人有症状的博赫dalek疝。
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7
Chromosome 8p23.1 deletions as a cause of complex congenital heart defects and diaphragmatic hernia.8号染色体p23.1缺失作为复杂先天性心脏缺陷和膈疝的一个病因
Am J Med Genet A. 2009 Aug;149A(8):1661-77. doi: 10.1002/ajmg.a.32896.
8
Morgagni-Larrey parasternal diaphragmatic hernia in the adult.成人莫尔加尼-拉雷胸骨旁膈疝
Rev Esp Enferm Dig. 2009 May;101(5):357-66.
9
Late-presenting posterior transdiaphragmatic (Bochdalek) hernia in adults: prevalence and MDCT characteristics.成人迟发性经膈后(博赫dalek)疝:患病率及多层螺旋CT特征
J Thorac Imaging. 2009 Feb;24(1):17-22. doi: 10.1097/RTI.0b013e31818c6bc8.
10
Morgagni hernia diagnosed by MRI.通过磁共振成像诊断出的 Morgagni 疝。
Surg Today. 1996;26(6):446-8. doi: 10.1007/BF00311935.