Congenital asymptomatic diaphragmatic hernias in adults: A case series

Enrica Bianchi, Paola Mancini, Stefania De Vito, Elena Pompili, Samanta Taurone, Isabella Guerrisi, Antonino Guerrisi, Vito D'Andrea, Vito Cantisani, Marco Artico

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Introduction. Congenital diaphragmatic hernia is a major malformation occasionally found in newborns and babies. Congenital diaphragmatic hernia is defined by the presence of an orifice in the diaphragm, more often to the left and posterolateral, that permits the herniation of abdominal contents into the thorax. The aim of this case series is to provide information on the presentation, diagnosis and outcome of three patients with late-presenting congenital diaphragmatic hernias. The diagnosis of congenital diaphragmatic hernia is based on clinical investigation and is confirmed by plain X-ray films and computed tomography scans. Case presentations. In the present report three cases of asymptomatic abdominal viscera herniation within the thorax are described. The first case concerns herniation of some loops of the large intestine into the left hemi-thorax in a 75-year-old Caucasian Italian woman. The second case concerns a rare type of herniation in the right side of the thorax of the right kidney with a part of the liver parenchyma in a 57-year-old Caucasian Italian woman. The third case concerns herniation of the stomach and bowel into the left side of the chest with compression of the left lung in a 32-year-old Caucasian Italian man. This type of hernia may appear later in life, because of concomitant respiratory or gastrointestinal disease, or it may be an incidental finding in asymptomatic adults, such as in the three cases featured here. Conclusions: Patients who present with late diaphragmatic hernias complain of a wide variety of symptoms, and diagnosis may be difficult. Additional investigation and research appear necessary to better explain the development and progression of this type of disease.

Original languageEnglish
Article number125
JournalJournal of Medical Case Reports
Volume7
DOIs
Publication statusPublished - 2013

Fingerprint

Thorax
X-Ray Film
Incidental Findings
Diaphragmatic Hernia
X Ray Computed Tomography
Viscera
Gastrointestinal Diseases
Large Intestine
Hernia
Diaphragm
Disease Progression
Stomach
Congenital Diaphragmatic Hernias
Newborn Infant
Kidney
Lung
Liver
Research

Keywords

  • Congenital diaphragmatic hernia
  • CT scan
  • Diaphragmatic malformation
  • Plain X-ray films
  • Surgery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Bianchi, E., Mancini, P., De Vito, S., Pompili, E., Taurone, S., Guerrisi, I., ... Artico, M. (2013). Congenital asymptomatic diaphragmatic hernias in adults: A case series. Journal of Medical Case Reports, 7, [125]. https://doi.org/10.1186/1752-1947-7-125

Congenital asymptomatic diaphragmatic hernias in adults : A case series. / Bianchi, Enrica; Mancini, Paola; De Vito, Stefania; Pompili, Elena; Taurone, Samanta; Guerrisi, Isabella; Guerrisi, Antonino; D'Andrea, Vito; Cantisani, Vito; Artico, Marco.

In: Journal of Medical Case Reports, Vol. 7, 125, 2013.

Research output: Contribution to journalArticle

Bianchi, E, Mancini, P, De Vito, S, Pompili, E, Taurone, S, Guerrisi, I, Guerrisi, A, D'Andrea, V, Cantisani, V & Artico, M 2013, 'Congenital asymptomatic diaphragmatic hernias in adults: A case series', Journal of Medical Case Reports, vol. 7, 125. https://doi.org/10.1186/1752-1947-7-125
Bianchi, Enrica ; Mancini, Paola ; De Vito, Stefania ; Pompili, Elena ; Taurone, Samanta ; Guerrisi, Isabella ; Guerrisi, Antonino ; D'Andrea, Vito ; Cantisani, Vito ; Artico, Marco. / Congenital asymptomatic diaphragmatic hernias in adults : A case series. In: Journal of Medical Case Reports. 2013 ; Vol. 7.
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