Congenital Hemidiaphragmatic Agenesis Presenting as Reversible Mesenteroaxial Gastric Volvulus and Diaphragmatic Hernia: A Case Report.
10.3346/jkms.2009.24.3.517
- Author:
Hye Young SUNG
1
;
Se Hyun CHO
;
Sung Bo SIM
;
Jin Il KIM
;
Dae Young CHEUNG
;
Soo Heon PARK
;
Joon Yeol HAN
;
Se Min LEE
;
Chee Ho NOH
;
Yong Bum PARK
;
Seung Eun JUNG
;
Seon Hui LEE
;
Kyu Yong CHOI
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea. chowhang@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Congenital Hemidiaphragmatic Agenesis;
Mesenteroaxial Gastric Volvulus;
Hernia, Diaphragmatic;
Spontaneous Resolution
- MeSH:
Aged;
Diagnosis, Differential;
Diaphragm/*abnormalities/radiography/surgery;
Female;
Hernia, Diaphragmatic/*diagnosis/radiography/surgery;
Humans;
Stomach Volvulus/*diagnosis/surgery;
Tomography, X-Ray Computed
- From:Journal of Korean Medical Science
2009;24(3):517-519
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 70-yr-old woman complained of left sided chest pain and non-bilious vomiting for four days after taking a gastric bloating agent for an upper gastrointestinal study. The chest radiography revealed gastric air-fluid levels and bowel loops in the left thoracic cavity. An emergency thoracotomy was performed. The abdominal organs (stomach, spleen, splenic flexure of the colon) were in the left thorax and the entire left hemidiaphragm was absent. There were no diaphragmatic remnants visible for reconstruction of the left diaphragm. We provided warm saline irrigation and performed a left lower lobe adhesiotomy. Thirteen days after surgery, the chest radiography showed improvement in the herniation but mild haziness remained at the left lower lung field. Here we present the oldest case of congenital diaphragmatic agenesis presenting with transient gastric volvulus and diaphragmatic hernia.
