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一名患有上消化道出血的成人的博赫dalek疝。

Bochdalek Hernia in an Adult with Upper Gastrointestinal Bleeding.

作者信息

Al-Dugdugi Mohammed, Alhazmi Abdulhameed, Khaliel Abdulhadi, Perez Luis

机构信息

Department of Endoscopy, Division of Gastroenterology, King Fahad Central Hospital, Jizan, Saudi Arabia.

King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.

出版信息

Case Rep Gastroenterol. 2017 May 17;11(2):284-292. doi: 10.1159/000462968. eCollection 2017 May-Aug.

DOI:10.1159/000462968
PMID:28626374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5471758/
Abstract

Bochdalek hernia (BH) can be a life-threatening condition in infants. Approximately 85.3% of newborns with a BH are immediately at high risk and have a high mortality rate due to respiratory insufficiency [Kocakusak et al.: Hernia 2005;9: 284-287]. However, BH is almost asymptomatic in adults and discovered only incidentally [Wilkins et al.: Clin Imaging 1994;18: 224-229]. Complicated BH in adults might present with visceral incarceration and lethal complications. Upper gastrointestinal bleeding and acute pancreatitis are rarely reported in the literature as complications of BH in adults. Here we report the case of a 42-year-old male who presented with upper gastrointestinal bleeding and acute pancreatitis. He was found to have abdominal visceral organ herniation to the posterior right thoracic cavity. His diagnosis was achieved early and with a close follow-up, we succeeded in stabilizing the patient's condition. Then he was subjected to reconstructive thoracotomy for hernial repair and restoring abdominal viscera.

摘要

波氏疝（BH）在婴儿中可能是一种危及生命的疾病。约85.3%的患有BH的新生儿立即处于高危状态，且因呼吸功能不全死亡率很高[科卡库萨克等人：《疝》2005年；9：284 - 287]。然而，BH在成人中几乎没有症状，仅偶然被发现[威尔金斯等人：《临床影像学》1994年；18：224 - 229]。成人复杂的BH可能会出现内脏嵌顿和致命并发症。上消化道出血和急性胰腺炎作为成人BH的并发症在文献中很少被报道。在此，我们报告一例42岁男性，其表现为上消化道出血和急性胰腺炎。他被发现有腹部内脏器官疝入右后胸腔。他的诊断得以早期明确，经过密切随访，我们成功稳定了患者的病情。随后他接受了重建性开胸手术进行疝修补并恢复腹部脏器。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/99c7645ea21d/crg-0011-0284-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/f6e2b3643021/crg-0011-0284-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/66f620b8f73d/crg-0011-0284-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/647e8e43b4e0/crg-0011-0284-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/765df5b59a53/crg-0011-0284-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/f260a2148c1d/crg-0011-0284-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/99c7645ea21d/crg-0011-0284-g06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/f6e2b3643021/crg-0011-0284-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/66f620b8f73d/crg-0011-0284-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/647e8e43b4e0/crg-0011-0284-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/765df5b59a53/crg-0011-0284-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/f260a2148c1d/crg-0011-0284-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92dc/5471758/99c7645ea21d/crg-0011-0284-g06.jpg

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本文引用的文献

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A Rare Cause of Haemorrhage in the Upper Gastrointestinal System: Bochdalek Hernia.上消化道系统出血的罕见原因：博赫dalek疝。 （注：这里“Bochdalek”可能存在拼写错误，常见的是“Bochdalek's hernia”即“博赫dalek氏疝” ，正常翻译应该是：上消化道系统出血的罕见原因：博赫dalek氏疝 ）
West Indian Med J. 2015 Mar;64(2):154-6. doi: 10.7727/wimj.2014.071. Epub 2014 Oct 15.
2
Acute pancreatitis secondary to an incarcerated paraoesophageal hernia: a rare cause for a common problem.嵌顿性食管旁疝继发急性胰腺炎：常见问题的罕见病因。
Clin Med Insights Case Rep. 2014 Mar 11;7:25-7. doi: 10.4137/CCRep.S13079. eCollection 2014.
3
Right-sided Bochdalek hernia obstructing in an adult: case report and review of the literature.
成人右侧博赫达勒克疝梗阻：病例报告及文献复习
Hernia. 2007 Aug;11(4):359-62. doi: 10.1007/s10029-007-0188-5. Epub 2007 Mar 7.
4
Bochdalek's hernia in an adult with colon necrosis.一名患有结肠坏死的成人的博赫达勒克疝。
Hernia. 2005 Oct;9(3):284-7. doi: 10.1007/s10029-004-0302-x. Epub 2005 Oct 22.
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Imaging of incidental Bochdalek hernia.
Semin Ultrasound CT MR. 2005 Feb;26(1):28-36. doi: 10.1053/j.sult.2004.10.006.
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Bochdalek hernia masquerading as a tension pneumothorax.伪装成张力性气胸的博赫dalek疝。 （注：此处“Bochdalek”可能存在拼写错误，正确的是“Bochdalek”，指的是一种先天性膈疝）
Emerg Med J. 2004 May;21(3):393-4. doi: 10.1136/emj.2002.004697.
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An adult case of Bochdalek hernia complicated with hemothorax.
Respiration. 2003 Nov-Dec;70(6):644-6. doi: 10.1159/000075213.
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Congenital posterolateral diaphragmatic hernia in an adult.成人先天性后外侧膈疝
Hernia. 2004 Feb;8(1):83-5. doi: 10.1007/s10029-003-0166-5. Epub 2003 Sep 20.
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