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Int J Surg Case Rep 2022 May 4;94:107164. Epub 2022 May 4.

Esophageal Institute, Department of Surgery, Allegheny Health Network, Pittsburgh, PA, United States; Department of Surgery, Drexel University, Philadelphia, PA, United States.

Introduction And Importance: Morgagni hernia is an uncommon type of diaphragmatic hernia and commonly presents as a congenital disease. Acquired Morgagni hernias following open cardiac surgery are exceedingly rare and only reported in the pediatric population.

Case Presentation: The patient is a 70-year-old female who presented with complaints of shortness of breath and cough one year following a coronary artery bypass graft (CABG). Read More

Multimed Man Cardiothorac Surg 2021 Aug 26;2021. Epub 2021 Aug 26.

Thoracic Surgery Department, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.

The authors demonstrate a video-assisted thoracoscopic surgical technique for diaphragmatic plication, which is used to treat acquired diaphragmatic paralysis resulting from injury to the phrenic nerve. The objective of the surgical procedure is to return the abdominal contents to their normal position and restore optimal lung expansion by reducing the size of the diaphragmatic surface. Successful diaphragmatic plication improves lung function, reduces dyspnea, and restores quality of life. Read More

Cureus 2021 Dec 9;13(12):e20314. Epub 2021 Dec 9.

Intensive Care Unit Department, Hospital Vila Franca de Xira, Vila Franca de Xira, PRT.

A diaphragmatic hernia is a protrusion of abdominal contents into the thoracic cavity. Although it is commonly congenital, diaphragmatic hernias can also be acquired. Blunt or penetrating trauma are among the most frequent causes, although spontaneous or iatrogenic cases have been reported. Read More

Pediatr Transplant 2022 05 8;26(3):e14203. Epub 2021 Dec 8.

Hepatology and Liver Transplantation, Hospital Sírio-Libanês, São Paulo, Brazil.

Background: Acquired diaphragmatic hernia (DH) following liver transplantation (LT) is usually considered a surgical emergency. Interplay of contributing elements determines its occurrence but, in children, LT with partial liver grafts seems to be the most important causative factor.

Methods: This retrospective study describes the clinical scenario and outcomes of 11 patients with acquired DH following LDLT. Read More

BMC Vet Res 2021 Dec 3;17(1):370. Epub 2021 Dec 3.

Department of Veterinary Science, University of Parma, Strada del Taglio 10, 43126, Parma, PR, Italy.

Background: The domestic chinchilla has been descended from Chinchilla lanigera (long-tailed Chinchilla) or Chinchilla chinchilla (short-tailed Chinchilla). Both species of chinchilla are currently listed as endangered by the IUCN Red List of Threatened Species. Over the past 20 years, they have spread as pets and overall knowledge about their care is improving. Read More

Ann Hepatobiliary Pancreat Surg 2021 Nov;25(4):462-471

Department of Digestive Diseases, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.

Backgrounds/aims: Acquired diaphragmatic hernia is a rare complication following liver surgery in adult and pediatric patients. This study aims to describe main features occurring in adult and pediatric patients after liver surgery and report an up-date review of the literature.

Methods: All adult and pediatric patients who were diagnosed with postoperative acquired diaphragmatic hernia in Lyon and Marseille University Hospitals were included in this study. Read More

J Pediatr 2022 03 30;242:63-73. Epub 2021 Oct 30.

Division of Neurology, Departments of Neurology and Pediatrics, Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA; Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, PA; Department of Anesthesia and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA.

Objective: To compare key seizure and outcome characteristics between neonates with and without cardiopulmonary disease.

Study Design: The Neonatal Seizure Registry is a multicenter, prospectively acquired cohort of neonates with clinical or electroencephalographic (EEG)-confirmed seizures. Cardiopulmonary disease was defined as congenital heart disease, congenital diaphragmatic hernia, and exposure to extracorporeal membrane oxygenation. Read More

Ophthalmic Genet 2022 Apr 27;43(2):248-252. Epub 2021 Oct 27.

Ophthalmology Department, John Radcliffe Hospital, Oxford University Hospitals, Oxford, UK.

Background: Donnai Barrow Syndrome (DBS) is a rare, multi-system autosomal recessively inherited disorder of relevance to ophthalmologists. To aim to describe the ocular phenotype using multimodal imaging for two cases of genetically confirmed DBS and compare against the published phenotype.

Materials And Methods: Retrospective case series of two unrelated patients with DBS and review of the literature. Read More

Radiol Case Rep 2021 Nov 5;16(11):3426-3430. Epub 2021 Sep 5.

Department of Medical and Surgical Sciences and Advanced Technologies, Radiodiagnostic and Radiotherapy Unit, "GF Ingrassia", Catania, Italy.

Non-traumatic hepatic hernia is defined as hepatic protrusion through acquired or congenital defects on diaphragm without prior trauma. This event is rare among adults and infrequently reported in literature. 52-year-old Caucasian woman with surgically treated breast cancer with suspected lung metastasis detected during a routine Multidetector Computed Tomography lung exam. Read More

Radiol Med 2021 Dec 27;126(12):1508-1517. Epub 2021 Aug 27.

Department of Surgical and Medical Sciences and Translational Medicine, Diagnostic Imaging Unit, "Sapienza" University of Rome, Sant'Andrea University Hospital, Via di Grottarossa, 1035. 00189, Rome, Italy.

Objective: To evaluate the accuracy and reproducibility of hiatal surface area (HSA) measurement on dedicated multidetector computed tomography (MDCT) acquisition, in patients, previously subjected to laparoscopic sleeve gastrectomy (LSG), and affected by gastroesophageal reflux disease (GERD). Intraoperative HSA measurement was considered the reference standard.

Methods: Fifty-two candidates for laparoscopic hiatal hernia repair were prospectively included in the study. Read More

Afr J Paediatr Surg 2021 Jul-Sep;18(3):133-138

Department of Paediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.

Background: The descriptive clinical study was conducted to analyse the clinical profile as well as the outcome of congenital right diaphragmatic defects among children including neonates in a tertiary care referral neonatal and paediatric centre in southern Karnataka, India.

Materials And Methods: This retrospective and prospective observational clinical study was conducted from January 2005 to August 2019, over a period of 14.7 years in a tertiary care referral neonatal and paediatric centre. Read More

Cureus 2021 Jun 21;13(6):e15793. Epub 2021 Jun 21.

Medicine, Bangalore Medical College & Research Institute, Bengaluru, IND.

Spontaneous acquired diaphragmatic hernia is a rare finding which occurs in the absence of any trauma or surgery. Here, we present the case of an 83-year-old male who presented to the outpatient department complaining of nausea, vomiting, epigastric pain and sensation of fullness, loss of appetite, and occasional episodes of constipation, with no history of trauma or surgery. Clinical examination revealed no specific cause. Read More

J Med Case Rep 2021 Jun 18;15(1):320. Epub 2021 Jun 18.

Surgery Department, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Khobar, Saudi Arabia.

Background: Diaphragmatic hernia is primarily congenital in origin and has potentially devastating pulmonary complications. Acquired diaphragmatic hernia as a complication of hydatid disease remains a rare clinical entity. Retroperitoneal hydatidosis, in particular is an exceptionally rare cause behind a similar presentation. Read More

Acta Biomed 2021 04 30;92(S1):e2021140. Epub 2021 Apr 30.

Emergency Surgery Unit, Parma University Hospital.

Diaphragmatic hernia (DH) can be congenital or acquired. DH is a potentially life-threatening condition and the management in emergency setting remain unclear. Nonspecific symptoms can delay the diagnosis. Read More

JAAPA 2021 May;34(5):1-3

Sarah Macios Tesoriero and Elissa Gross practice pediatric hospital medicine at the Children's Hospital at Montefiore in Bronx, N.Y. Dr. Gross also is an assistant professor at the Albert Einstein College of Medicine in Bronx, N.Y. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Abstract: Paraesophageal hernias in children are rare, and can occur congenitally or be acquired. Acquired cases most often follow anti-gastroesophageal reflux surgery, or less commonly trauma. In children, elective repair is encouraged at the time of diagnosis to prevent future life-threatening complications. Read More

Pediatr Neurosurg 2021 30;56(3):261-267. Epub 2021 Mar 30.

Department of Neurosurgery, AIIMS, New Delhi, India.

Introduction: Intraspinal epidermoid cysts are congenital or acquired in origin; whereas intraspinal neurenteric cysts (NECs) are of congenital origin. Their individual association with spinal dysraphism and vertebral segmentation anomalies is very well known.

Case Presentation: We hereby report a case of concurrent intradural extramedullary epidermoid and NEC at adjacent vertebral levels in a spinal dysraphism child, not reported in English Literature till now. Read More

BMJ Open Gastroenterol 2021 03;8(1)

Department of Radiology, Weill Cornell Medicine, New York, NY, USA

Objective: To determine the prevalence, risk factors and natural history of hiatal hernia (HH) on CT in the general population.

Materials And Methods: The Multi-Ethnic Study of Atherosclerosis (MESA) acquired full-lung CT on 3200 subjects, aged 53-94 years. Three blinded observers independently determined presence/absence and type (I-IV) of HH. Read More

Diagnostics (Basel) 2021 Feb 14;11(2). Epub 2021 Feb 14.

Department of Gastroenterology and Neurology, Kagawa University Faculty of Medicine, 1750-1 Ikenobe Miki-cho, Kita-gun, Kagawa 761-0793, Japan.

Diaphragmatic hernia (DH) is a defect, which can be congenital or can develop later in life. Moreover, chromosomal and genetic abnormalities, environmental exposures, and nutritional deficiencies may be related to the development of congenital DH. In contrast, the risk factors of acquired DH include traumas, such as blunt injuries due to traffic accidents and surgical procedures. Read More

J Med Case Rep 2021 Jan 23;15(1):19. Epub 2021 Jan 23.

Department of General Surgery, Kayseri City Training and Research Hospital, Health Science University, Kayseri, Turkey.

Background: Diaphragmatic hernias may occur as either congenital or acquired. The most important cause of acquired diaphragmatic hernias is trauma, and the trauma can be due to blunt or penetrating injury. Diaphragmatic hernia may rarely be seen after thoracoabdominal trauma. Read More

J Minim Invasive Surg 2020 Dec;23(4):197-200

Bariatric Unit, General Surgery Department, Al-Qassimi Hospital, Sharjah, United Arab Emirates.

A combination of Cytoreductive surgery (CRS) along with hyperthermic intraperitoneal chemotherapy (HIPEC) considers a crucial approach in treating designated patients with alimentary and gynecological malignancies with the involvement of the peritoneal cavity. The foremost frequent surgical complications are leakage, digestive perforations, fistulas, intestinal obstruction, abscess, and peripancreatitis. This report presents a case of a patient with a late acquired herniation of guts through the diaphragm after CRS and HIPEC that were already done 6 months back. Read More

BMJ Case Rep 2020 Dec 10;13(12). Epub 2020 Dec 10.

General Surgery, Queen's Hospital, Romford, London, UK.

We present a case of an 82-year-old gentleman with an 18-month history of productive cough. Urgent CT scan of the thorax revealed type 1 hiatus hernia (HH). The patient was managed conservatively with lifestyle modifications to help his reflux symptomology. Read More

BMJ Case Rep 2020 Oct 30;13(10). Epub 2020 Oct 30.

Respiratory Medicine, Stepping Hill Hospital, Stockport, UK.

The diagnosis of diaphragmatic hernia (DH) in adults is rare and may be due to missed congenital DH or acquired DH from trauma or as a postoperative complication of certain thoracic and abdominal surgeries. We present a case of a patient with well-controlled chronic obstructive pulmonary disease who presented to the hospital with progressive dyspnoea, 6 months after laparoscopic nephrectomy. The patient was initially misdiagnosed and treated for empyema after plain radiographic images were reported as consolidation with gas locules. Read More

Rev Esp Enferm Dig 2020 Oct;112(10):809-810

Aparato Digestivo, Hospital Clínico San Carlos.

Jejunal volvules are a very rare condition, barely reported in the literature, that occur in relation to congenital (eg, intestinal duplication) or acquired disorders (eg, diaphragmatic hernias or tumors). In the event that it becomes complicated with an established intestinal ischemia, its prognosis is further overshadowed by the possible consequences of a complex surgery, given the high risk of short bowel syndrome. Being a PEG probe carrier does not seem to be related to the picture. Read More

Ulus Travma Acil Cerrahi Derg 2020 Sep;26(5):826-828

Department of Radiology, Biruni University Faculty of Medicine, İstanbul-Turkey.

In tension gastrothorax, the abdominal contents are displaced into the thorax, leading to a mediastinal shift that arises from the pressure placed on the intrathoracic region. This condition is often due to a congenital or acquired (secondary to surgery) diaphragmatic defect and is rarely seen secondary to trauma. A 40-year-old man presented to the emergency department after an in-vehicle traffic accident. Read More

J Paediatr Child Health 2020 Dec 4;56(12):1929-1932. Epub 2020 Sep 4.

Department of Respiratory and Sleep Medicine, Queensland Children's Hospital, Brisbane, Queensland, Australia.

Aim: Aerodigestive clinics (ADCs) are multidisciplinary programmes for the care of children with complex congenital or acquired conditions affecting breathing, swallowing and growth. Our objective was to describe the demographic, clinical, etiological and investigational profile of children attending the inaugural ADC at a tertiary paediatric centre in Queensland.

Methods: Children referred to the ADC at Queensland Children's Hospital from August 2018 to December 2019 were included. Read More

World J Pediatr Congenit Heart Surg 2020 11 27;11(6):697-703. Epub 2020 Aug 27.

Department of Pediatrics, New York-Presbyterian/Morgan Stanley Children's Hospital, 21611Columbia University Irving Medical Center, New York, NY, USA.

Background: Our understanding of the impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on pregnancies and perinatal outcomes is limited. The clinical course of neonates born to women who acquired coronavirus disease 2019 (COVID-19) during their pregnancy has been previously described. However, the course of neonates born with complex congenital malformations during the COVID-19 pandemic is not known. Read More

World J Surg 2020 Dec 11;44(12):4012-4031. Epub 2020 Aug 11.

Department of Emergency Surgery, Parma University Hospital, Parma, Italy.

Introduction: Complicated diaphragmatic hernia (DH) can be congenital or acquired. Congenital diaphragmatic hernias (CDH) are rare and often can be asymptomatic until adulthood. Traumatic diaphragmatic hernia (TDH) is a complication that occurs in about 1-5% of victims of road accidents and in 10-15% of penetrating traumas of the lower chest. Read More

J Surg Case Rep 2020 Jun 19;2020(6):rjaa178. Epub 2020 Jun 19.

Department of Surgery, BPKIHS, Dharan, Nepal.

Diaphragmatic hernia can be congenital or acquired. Usual clinical presentation may range from asymptomatic cases to serious respiratory/gastrointestinal symptoms and occasionally atypical presentation as lumbar hernia also. The diagnosis of diaphragmatic hernia is based on clinical investigation and is confirmed by plain X-ray film and computed tomography scan. Read More

Am J Med Genet A 2020 07 7;182(7):1807-1811. Epub 2020 Jun 7.

The Prenatal Diagnosis and Medical Genetics Program, Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada.

Our improved tools to identify the aetiologies in patients with multiple abnormalities resulted in the finding that some patients have more than a single genetic condition and that some of the diagnoses made in the past are acquired rather than inherited. However, limited knowledge has been accumulated regarding the phenotypic outcome of the interaction between different genetic conditions identified in the same patients. We report a newborn girl with brachytelephalangic chondrodysplasia punctata (BCDP) as well as frontonasal dysplasia, ptosis, bilateral hearing loss, vertebral anomalies, and pulmonary hypoplasia who was found, by whole exome sequencing, to have a de novo pathogenic variant in RAF1 (c. Read More

Cureus 2020 Apr 16;12(4):e7689. Epub 2020 Apr 16.

Surgery, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, USA.

Transdiaphragmatic hernia via the central tendon in the pericardium is a rare entity. Most often, these hernias are acquired and related to the iatrogenic creation of a transdiaphragmatic-pericardial defect. We would like to present a case of a 62-year-old male who presented with acute chest pain and was diagnosed to have a transdiaphragmatic-pericardial hernia on computed tomography. Read More