Down Sendromlu Yenidoğanda Asemptomatik Sağ Bochdalek Hernisi

Year 2020, Volume: 4 Issue: 2, 178 - 183, 31.08.2020

Olena Erkun , Tetyana Syrotenko Aybars Özkan , İbrahim Caner , Öner Özdemir , Ayşegül Pala

https://doi.org/10.34084/bshr.742765

Abstract

Konjenital diyafragma hernisi, diyafragmada defektler sonucu gelişen kalıtsal anomalilerdir. Diyafragmadaki konjenital defektten dolayı abdominal yapılar torakal kaviteye herniyason yapar. Akciğer grafisinde bağırsak anslarının toraksta görülmesi büyük oranda tanı koydurur. Diyafragma hernileri özefageal hiatustan (hiatal), paraözefageal, retrosternal (Morgagni) veya posterolateral (Bochdalek) bölgelerden gelişebilir. Bu olgu sunumunda Down sendromlu yenidoğan bir bebeğin sağ Bochdalek hernisi tanı süreci, cerrahi işlemi ve literatür karşılaştırması anlatılmıştır.

Keywords

Bochdalek hernisi, diafragma, laparaskopi, yenidoğan

A Down Syndrome-Newborn with Asymptomatic Right Bochdalek Hernia

Abstract

ABSTRACT:

Congenital diaphragmatic hernia is hereditary
anomalies resulting from defects in the diaphragm. Abdominal structures
herniate into the thoracic cavity due to congenital defect in the diaphragm.
For accurate diagnosis, the presence of bowel loops in the thorax is decisive
on the chest radiograph. Diaphragmatic hernias may develop from esophageal
hiatus (hiatal), paraesophageal, retrosternal (Morgagni) or posterolateral
(Bochdalek) regions. In this case report, the diagnosis and surgical procedure
of a Down syndrome-newborn baby with right Bochdalek hernia was discussed by
comparison of the literature.

Keywords

Bochdalek hernia, diaphragma, newborn, laparoscopy

References

• 1. Stolar CJH, Dillon PW. Congenital Diaphragmatic Hernia and Eventration. In Pediatric Surgery (pp. 809-824).
• 2. Obatake M, Nakata T, Nomura M et al. Congenital intrathoracic kidney with right Bochdalek defect . Pediatr Surg Int 2006; 22: 861.
• 3. Kadir D, Lilja HE. Risk factors for postoperative mortality in congenital diaphragmatic hernia: a single-centre observational study. Pediatr Surg Int. 2017; 33(3):317–323.
• 4. Khemakhem R.,Hagguı B., Rahay H., Nouira F., Charieg A., Ghorbel S., Trifa M., Jlidi S., Khalifa SB, Chaouachi B. Congenital diaphragmatic hernia in neonate: A retrospective study about 28 observations. African journal of paediatric surgery 2012: AJPS. 9. 217-22.
• 5. Kantarci S, Ackerman KG, Russell MK, et al. Characterization of the chromosome 1q41q42.12 region, and the candidate gene DISP1, in patients with CDH. Am J Med Genet A. 2010; 152A(10):2493–2504.
• 6. Stoll C, Alembik Y, Dott B, Roth MP. Associated non diaphragmatic anomalies among cases with congenital diaphragmatic hernia. Genet Couns. 2015;26:281–98.
• 7. Corbett HJ, Losty PD. Congenital diaphragmatic hernia. In: Rich DH, Crabbe DC, Auldist AW, Rothenberg SS, editors. Pediatric Thoracic Surgery. London: Springer-Verlag; 2009. pp. 483–99.
• 8. Bagłaj M, Dorobisz U. Late-presenting congenital diaphragmatic hernia in children: A literature review. Pediatr Radiol. 2005 May;35(5):478-88.
• 9. Skari H1, Bjornland K, Haugen G, Egeland T, Emblem R. Congenital diaphragmatic hernia: a meta-analysis of mortality factors. J Pediatr Surg. 2000 Aug;35(8):1187-97.
• 10. Ozkan A, Bozkurter Cil AT, Kaya M, Etcioglu I, Okur M. Late presenting Bochdalek hernia with gastric perforation. Pediatr Emerg Care. 2015;31(1):47-9.
• 11. Grisaru-Granovsky S, Rabinowitz R, Ioscovich A, Elstein D, Schimmel M. Congenital diaphragmatic hernia: Review of the literature in reflection of unresolved dilemmas. Acta paediatrica 2009 (Oslo, Norway : 1992). 98. 1874-81.
• 12. Brindle ME, Cook EF, Tibboel D, Lally PA, Lally KP. A Clinical Prediction Rule for the Severity of Congenital Diaphragmatic Hernias in Newborns. Pediatrics 2014;. 134. e413-9.
• 13. Al-Salem AH, Zamakhshary M, Al Mohaidly M, Al-Qahtani A, Abdulla MR, Naga MI. Congenital Morgagni's hernia: a national multicenter study. J Pediatr Surg. 2014, Apr;49(4):503-7.
• 14. Adzick NS, Harrison MR, Glick PL, Nakayama DK, Manning FA, deLorimier AA. Diaphragmatic hernia in the fetus: prenatal diagnosis and outcome in 94 cases. J Pediatr Surg. 1985 Aug;20(4):357-61.