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Congenital hemidiaphragmatic agenesis presenting as reversible mesenteroaxial gastric volvulus and diaphragmatic hernia: a case report.
J Korean Med Sci. 2009 Jun; 24(3):517-9.JK

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.

Authors+Show Affiliations

Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19543520

Citation

Sung, Hye Young, et al. "Congenital Hemidiaphragmatic Agenesis Presenting as Reversible Mesenteroaxial Gastric Volvulus and Diaphragmatic Hernia: a Case Report." Journal of Korean Medical Science, vol. 24, no. 3, 2009, pp. 517-9.
Sung HY, Cho SH, Sim SB, et al. Congenital hemidiaphragmatic agenesis presenting as reversible mesenteroaxial gastric volvulus and diaphragmatic hernia: a case report. J Korean Med Sci. 2009;24(3):517-9.
Sung, H. Y., Cho, S. H., Sim, S. B., Kim, J. I., Cheung, D. Y., Park, S. H., Han, J. Y., Lee, S. M., Noh, C. H., Park, Y. B., Jung, S. E., Lee, S. H., & Choi, K. Y. (2009). Congenital hemidiaphragmatic agenesis presenting as reversible mesenteroaxial gastric volvulus and diaphragmatic hernia: a case report. Journal of Korean Medical Science, 24(3), 517-9. https://doi.org/10.3346/jkms.2009.24.3.517
Sung HY, et al. Congenital Hemidiaphragmatic Agenesis Presenting as Reversible Mesenteroaxial Gastric Volvulus and Diaphragmatic Hernia: a Case Report. J Korean Med Sci. 2009;24(3):517-9. PubMed PMID: 19543520.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Congenital hemidiaphragmatic agenesis presenting as reversible mesenteroaxial gastric volvulus and diaphragmatic hernia: a case report. AU - Sung,Hye Young, AU - Cho,Se Hyun, AU - Sim,Sung Bo, AU - Kim,Jin Il, AU - Cheung,Dae Young, AU - Park,Soo-Heon, AU - Han,Joon-Yeol, AU - Lee,Se Min, AU - Noh,Chee Ho, AU - Park,Yong-Bum, AU - Jung,Seung Eun, AU - Lee,Seon Hui, AU - Choi,Kyu Yong, Y1 - 2009/06/16/ PY - 2007/11/15/received PY - 2008/02/23/accepted PY - 2009/6/23/entrez PY - 2009/6/23/pubmed PY - 2009/8/28/medline KW - Congenital Hemidiaphragmatic Agenesis KW - Hernia, Diaphragmatic KW - Mesenteroaxial Gastric Volvulus KW - Spontaneous Resolution SP - 517 EP - 9 JF - Journal of Korean medical science JO - J. Korean Med. Sci. VL - 24 IS - 3 N2 - 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. SN - 1598-6357 UR - https://www.unboundmedicine.com/medline/citation/19543520/Congenital_hemidiaphragmatic_agenesis_presenting_as_reversible_mesenteroaxial_gastric_volvulus_and_diaphragmatic_hernia:_a_case_report_ L2 - https://jkms.org/DOIx.php?id=10.3346/jkms.2009.24.3.517 DB - PRIME DP - Unbound Medicine ER -