Diaphragmatic Hernia

When diaphragmatic hernia, the stomach contents shifted due to a defect in the diaphragm into the chest. The lung compression can cause a lifetime pulmonary hypertension. The diagnosis is made by X-ray examination of the chest. The treatment of choice is surgical recovery.

When diaphragmatic hernia, the stomach contents shifted due to a defect in the diaphragm into the chest. The lung compression can cause a lifetime pulmonary hypertension. The diagnosis is made by X-ray examination of the chest. The treatment of choice is surgical recovery.

(See also Congenital abnormalities of the gastrointestinal tract in the overview.) The diaphragmatic hernia, the stomach contents shifted due to a defect in the diaphragm into the chest. The lung compression can cause a lifetime pulmonary hypertension. The diagnosis is made by X-ray examination of the chest. The treatment of choice is surgical recovery. The diaphragmatic hernias typically occur in the posterolateral area of ??the diaphragm (Bochdalek hernia) and in 90% of cases on the left side. 2% of cases are bilateral. The estimated incidence is 1 to 4 in 10,000 live births. Anterior hernia (Morgagni’s hernia) are far less frequent. In about 50% of cases other congenital anomalies are present. Also adrenal insufficiency is relatively common. Small bowel, and large bowel loops, stomach, liver and spleen may vorstülpen on the affected side in the thorax. If the hernia is large and the abdominal Vorstülpung is significant, the lung on the affected side is hypoplastic. Other pulmonary consequences are the underdevelopment of the pulmonary vessels, ending in an increase in pulmonary vascular resistance and in consequence of pulmonary hypertension. A persistent pulmonary hypertension results in a right-left shunt either at the level of the foramen ovale, or by the patent ductus arteriosus, which prevents a sufficient supply of oxygen in spite of administration of oxygen or ventilation. Persistent pulmonary hypertension is the most common cause of death in children with a diaphragmatic hernia. Symptoms and signs of respiratory distress in the first few hours after birth, and in severe cases typically occurs immediately thereafter. After birth, the stomach and the intestines quickly fill with air and increase rapidly as soon as the baby begins to cry and swallows air. This causes respiratory failure, the heart and mediastinal structures are pushed to the right and compresses the normal lung. Mostly there is a belly boat because the abdominal organs are placed in the thorax. Bowel sounds may be auscultated, lack the breath sounds on the affected side of the thorax. In less severe cases, a few hours or days later develop mild breathing difficulties if the abdominal contents increasingly occurs over a small diaphragmatic defect in the thorax. Rarely, the disease is discovered only later in childhood, sometimes after an acute infectious intestinal inflammation that causes a sudden herniation of the bowel in the chest. Diagnosis Sometimes prenatal sonography chest radiograph Sometimes the diagnosis of diaphragmatic hernia is made prenatally by sonography. After delivery, a chest x-ray showing the displacement of the viscera in the chest. For large defects, it comes to multiple air-filled bowel loops in the hemithorax and contralateral displacement of the heart and the mediastinum. When the X-ray picture is taken after birth immediately, ie before the infant can swallow air, which diaphragmatic hernia can appear as dense mass in the side of the thorax. Diaphragmatic hernia DU CANE MEDICAL IMAGING LTD / SCIENCE PHOTO LIBRARY var model = {thumbnailUrl: ‘/-/media/manual/professional/images/m1700407-diaphragmatic-hernia-science-photo-library-high_de.jpg?la=de&thn=0&mw= 350 ‘, imageUrl:’ /-/media/manual/professional/images/m1700407-diaphragmatic-hernia-science-photo-library-high_de.jpg?la=de&thn=0 ‘, title:’ diaphragmatic ‘description:’ u003Ca id = “v37897615 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “”para “” u003e u003cp u003eDieses radiograph shows diaphragmatic hernia in a newborn. The intestines (white coils) protrude in the left breast (right side of the X-ray image) u003c / p u003e u003c / div u003e ‘credits’. Du Cane MEDICAL IMAGING LTD / SCIENCE PHOTO LIBRARY’

Health Life Media Team

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