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Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report

(1) Introduction: Recurrent diaphragmatic hernia is a relevant diagnostic and treatment dilemma. We have presented a patient with ingrowing liver as an atypical diaphragmatic hernia recurrence and discussed major aspects of diagnostic methods and the selection of an appropriate operative treatment....

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Autores principales: Borselle, Dominika, Międzybrodzki, Krzysztof, Gerus, Sylwester, Zaleska-Dorobisz, Urszula, Hałoń, Agnieszka, Szenborn, Leszek, Patkowski, Dariusz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8948779/
https://www.ncbi.nlm.nih.gov/pubmed/35324823
http://dx.doi.org/10.3390/pediatric14010020
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author Borselle, Dominika
Międzybrodzki, Krzysztof
Gerus, Sylwester
Zaleska-Dorobisz, Urszula
Hałoń, Agnieszka
Szenborn, Leszek
Patkowski, Dariusz
author_facet Borselle, Dominika
Międzybrodzki, Krzysztof
Gerus, Sylwester
Zaleska-Dorobisz, Urszula
Hałoń, Agnieszka
Szenborn, Leszek
Patkowski, Dariusz
author_sort Borselle, Dominika
collection PubMed
description (1) Introduction: Recurrent diaphragmatic hernia is a relevant diagnostic and treatment dilemma. We have presented a patient with ingrowing liver as an atypical diaphragmatic hernia recurrence and discussed major aspects of diagnostic methods and the selection of an appropriate operative treatment. (2) Case description: We discuss a case of a patient with right-sided recurrent CDH (Congenital Diaphragmatic Hernia) who had primary thoracoscopic repair in newborn period. During infancy and early childhood, the patient presented recurrent upper and lower respiratory tract infections and bronchial hyperreactivity. The clinical picture was initially unclear. A CT scan was inconclusive to diagnose a recurrence. The patient was scheduled to have a re-thoracoscopy. A part of the liver was herniated into the pleural cavity. This fragment of ‘ingrowing’ liver was removed, and the diaphragmatic secondary defect was repaired. (3) Conclusions: This case proved that thoracoscopy can be a preferred technique in the diagnosis and treatment of CDH recurrence.
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spelling pubmed-89487792022-03-26 Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report Borselle, Dominika Międzybrodzki, Krzysztof Gerus, Sylwester Zaleska-Dorobisz, Urszula Hałoń, Agnieszka Szenborn, Leszek Patkowski, Dariusz Pediatr Rep Case Report (1) Introduction: Recurrent diaphragmatic hernia is a relevant diagnostic and treatment dilemma. We have presented a patient with ingrowing liver as an atypical diaphragmatic hernia recurrence and discussed major aspects of diagnostic methods and the selection of an appropriate operative treatment. (2) Case description: We discuss a case of a patient with right-sided recurrent CDH (Congenital Diaphragmatic Hernia) who had primary thoracoscopic repair in newborn period. During infancy and early childhood, the patient presented recurrent upper and lower respiratory tract infections and bronchial hyperreactivity. The clinical picture was initially unclear. A CT scan was inconclusive to diagnose a recurrence. The patient was scheduled to have a re-thoracoscopy. A part of the liver was herniated into the pleural cavity. This fragment of ‘ingrowing’ liver was removed, and the diaphragmatic secondary defect was repaired. (3) Conclusions: This case proved that thoracoscopy can be a preferred technique in the diagnosis and treatment of CDH recurrence. MDPI 2022-03-11 /pmc/articles/PMC8948779/ /pubmed/35324823 http://dx.doi.org/10.3390/pediatric14010020 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Borselle, Dominika
Międzybrodzki, Krzysztof
Gerus, Sylwester
Zaleska-Dorobisz, Urszula
Hałoń, Agnieszka
Szenborn, Leszek
Patkowski, Dariusz
Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report
title Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report
title_full Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report
title_fullStr Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report
title_full_unstemmed Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report
title_short Ingrowing Liver as Atypical Recurrent Diaphragmatic Hernia Presentation—Diagnostic and Treatment Difficulties: A Case Report
title_sort ingrowing liver as atypical recurrent diaphragmatic hernia presentation—diagnostic and treatment difficulties: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8948779/
https://www.ncbi.nlm.nih.gov/pubmed/35324823
http://dx.doi.org/10.3390/pediatric14010020
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