Congenital Diaphragmatic Hernia - Diagnosis After Intra-Thoracic Cholecystitis

Authors

  • José Pinto Serviço de Cirurgia Torácica, Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal https://orcid.org/0000-0002-1868-360X
  • Raquel Pereira Serviço de Cirurgia Torácica, Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal
  • João Freitas Serviço de Cirurgia Torácica, Centro Hospitalar Tondela Viseu EPE, Viseu, Portugal

DOI:

https://doi.org/10.48729/pjctvs.300

Keywords:

Congenital, Hernia, Diaphragm, Agenesis

Abstract

Congenital diaphragmatic hernia due to diaphragmatic agenesis is extremely rare. We report the case of a 53-year-old female patient with a congenital right diaphragmatic hernia due to a right hemidiaphragm agenesia diagnosed in the context of acute intrathoracic cholecystitis. She was admitted to the Emergency Department for diffuse abdominal pain, nausea and vomiting with 2 days of evolution. Thoracic and abdominal radiography showed hydro-aerial levels in the right hemithorax. The computed tomography showed a right diaphragmatic hernia with signs of incipient incarceration. The patient underwent surgery consisting of a right exploratory thoracotomy, reduction of the hernial contents, closure of the defect with a double-sided prosthesis anchored in a pericardial patch, and pericardial reconstruction with a polypropylene prosthesis, with a remarkable evolution. This case shows a rare late presentation of a congenital hemidiaphragm agenesia in adulthood, with a special focus on the indications and surgical techniques used for its correction.

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References

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Published

07-07-2023

How to Cite

1.
Pinto J, Pereira R, Freitas J. Congenital Diaphragmatic Hernia - Diagnosis After Intra-Thoracic Cholecystitis. Rev Port Cir Cardiotorac Vasc [Internet]. 2023 Jul. 7 [cited 2024 Jul. 18];30(2):55-7. Available from: https://pjctvs.com/index.php/journal/article/view/300

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Clinical Cases

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