■简介:Bochdalek\'s疝(BH)是一种先天性膈疝,主要在儿科人群中诊断,但很少在成人中发现。本文介绍了一名成年患者的独特病例,该患者患有左侧BH并伴有胃扭转和胸内肾。
■一名21岁男性出现腹痛和呕吐。MDCT扫描显示胃扭曲,脾,脾肾脏因左膈膨出而突出进入胸部.手术包括解开胃,重新安置器官,切除疝囊.
结论:Bochdalek疝(BHs)是罕见的疾病,其中腹部器官由于隔膜缺损而进入胸部。BH通常发生在左侧,可以由怀孕等因素触发,肥胖,或者外伤.症状可能从腹痛到胸部不适,诊断可能具有挑战性。诸如CT扫描之类的成像测试对于准确诊断至关重要。在成年人中,BH可以包含各种器官,如脾脏和肾脏。很少,BH可与位于胸腔内的异位肾相关联。在BH的某些情况下,有并发症的风险,如胃扭转,胃会自己扭曲,导致严重的症状,如严重的腹痛和呕吐。
结论:该案例强调了成人BH的严重风险,例如胃扭曲和阻塞,需要紧急手术。及时诊断和手术干预对于预防危及生命的结果至关重要。需要更多的研究来改善这种罕见疾病的管理。
UNASSIGNED: Introduction: Bochdalek\'s hernia (BH) is a congenital diaphragmatic hernia predominantly diagnosed in the pediatric population but infrequently found in adults. This paper presents a unique case of an adult patient with a left-sided BH accompanied by gastric volvulus and an intrathoracic kidney.
UNASSIGNED: A 21-year-old male presented with abdominal pain and vomiting. An MDCT scan revealed a twisted stomach, spleen, and kidney herniated into the chest due to left diaphragmatic eventration. Surgery involved untwisting the stomach, relocating the organs, and removing the hernia sac.
CONCLUSIONS: Bochdalek hernias (BHs) are rare conditions in which abdominal organs move into the chest due to defects in the diaphragm. BH usually occurs on the left side and can be triggered by factors such as pregnancy, obesity, or trauma. Symptoms can vary from abdominal pain to chest discomfort, and diagnosis can be challenging. Imaging tests such as CT scans are essential for accurate diagnosis. In adults, the BH can contain various organs, such as the spleen and kidney. Rarely, BH can be associated with an ectopic kidney located inside the chest cavity. In some cases of BH, there is a risk of complications such as gastric volvulus, where the stomach twists on itself, leading to potentially serious symptoms such as severe abdominal pain and vomiting.
CONCLUSIONS: This case underscores the severe risks of BH in adults, such as gastric twisting and blockage, necessitating urgent surgery. Timely diagnosis and surgical intervention are crucial for preventing life-threatening outcomes. More research is needed to improve the management of this rare condition.