지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 1,143 - 1,148 (6page)
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초록· 키워드
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Purpose: Late-presenting congenital diaphragmatic hernia (CDH) beyond the neonatal period is rare and often misdiagnosed, with delayed treatment. Materials and Methods: We retrospectively reviewed our experience with late-presenting CDH over 30 years at a single institution to determine the characteristics of late-presenting CDH for early diagnosis. Results: Seven patients had operations due to late-presenting CHD in our institution over 30 years. The patients’ ages ranged from 2.5 months to 16 years. There were six boys and one girl. Five hernias were left-sided, one was right-sided and one was a retrosternal hernia. All patients had normal intestinal rotation. Non-specific gastrointestinal or respiratory symptoms and signs were usually presented. Intestinal malrotations were absent; therefore, only organs adjacent to the defect or relatively movable organs such as the small bowel and transverse colon were herniated. Two cases were accompanied by stomach herniation with the volvulus and liver, respectively. The duration from presentation to diagnosis varied from 5 days to 1 year. Diagnoses were made by chest X-ray, upper gastrointestinal series and chest computed tomography. All patients underwent primary repair with interrupted non-absorbable sutures by a transabdominal approach. None had postoperative complications. The follow-up period in six patients ranged from 4 months to 20 years (median 3.8 years). There was no recurrence in any of the patients on follow-up. Conclusion: A high index of suspicion is important for the diagnosis of late-presenting CDH because it can be a life-threatening condition such as CDH with a gastric volvulus. Early diagnosis and appropriate treatment can lead to a good prognosis.
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참고문헌 (19)
참고문헌 신청
Ayala JA / 2008 / Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature / J
Baerg J / 2012 / Late-presenting congenital diaphragmatic hernia: diagnostic pitfalls and outcome / Hernia 16 : 461 ~ 466
Bagłaj M / 2004 / Late-presenting congenital diaphragmatic hernia in children: a clinical spectrum / Pediatr Surg Int 20 : 658 ~ 669
Beckmann KR / 1999 / Congenital diaphragmatic hernia with gastric volvulus presenting as an acute tension gastrothorax / Am J Emerg Med 17 : 35 ~ 37
Chang SW / 2010 / A twenty-year review of early and late-presenting congenital Bochdalek diaphragmatic hernia: are they different clinical spectra? / Pediatr Neonatol 51 : 26
Baerg J / 2012 / Late-presenting congenital diaphragmatic hernia: diagnostic pitfalls and outcome / Hernia 16 : 461 ~ 466
Bagłaj M / 2004 / Late-presenting congenital diaphragmatic hernia in children: a clinical spectrum / Pediatr Surg Int 20 : 658 ~ 669
Beckmann KR / 1999 / Congenital diaphragmatic hernia with gastric volvulus presenting as an acute tension gastrothorax / Am J Emerg Med 17 : 35 ~ 37
Chang SW / 2010 / A twenty-year review of early and late-presenting congenital Bochdalek diaphragmatic hernia: are they different clinical spectra? / Pediatr Neonatol 51 : 26
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