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01-12-2014 | Case Report

A rare case of partial diaphragmatic agenesis with thoracic liver herniation and anteriorly displaced intrathoracic kidney in an adult diagnosed by displaced diaphragmatic crus

Authors: A. Jha, I. Ahmad, I. Naseem

Published in: Hernia | Issue 6/2014

Abstract

Diaphragmatic agenesis is a rare anomaly and usually occurs in the early neonatal period. Its exact pathogenesis from the embryologic viewpoint is still unknown. Its presentation in adulthood is extremely rare, with only 7 cases of hemidiaphragmatic agenesis reported in adults. They are usually associated with herniation of abdominal contents and are predominantly left sided. We present a case of right hemidiaphragmatic agenesis with anteriorly displaced crus and intrathoracic herniation of kidney, which is anterior and rotated along the horizontal plane, with herniation of liver and colon. The position of the crus was instrumental in making a diagnosis of diaphragmatic agenesis and for which the patient was operated upon and the defect was repaired.

Sheehan JJ, Kearns SR, McNamara DA, Brennan RP, Deasy JM (2000) Adult presentation of agenesis of the hemidiaphragm. Chest 117:901–902PubMedCrossRef

Losanoff JE, Sauter ER (2004) Congenital posterolateral diaphragmatic hernia in an adult. Hernia 8:83–85PubMedCrossRef

Skandalakis JE, Gray SW (1994) Embryology for surgeons, 2nd edn. Williams and Wilkins, Baltimore, pp 502–515

Goh BK, Teo MC, Chng SP, Soo KC (2007) Rightsided Bochdalek’s hernia in an adult. Am J Surg 194:390–391PubMedCrossRef

Kinoshita F, Ishiyama M, Honda S et al (2009) Late-presenting posterior transdiaphragmatic (Bochdalek) hernia in adults: prevalence and MDCT characteristics. J Thorac Imaging 24:17–22PubMedCrossRef

Eren S, Ciris F (2005) Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol 54:448–459PubMedCrossRef

Mullins ME, Saini S (2005) Imaging of incidental Bochdalek hernia. Semin Ultrasound CT MR 26:28–36PubMedCrossRef

Taylor GA, Atalabi OM, Estroff JA (2009) Imaging of congenital diaphragmatic hernias. Pediatr Radiol 39(1):1–16PubMedCrossRef

Anderson CD, Eliason J, Roberts JR, Sharp KW (2003) Bilateral diaphragmatic agenesis in an adult complicated by a paraduodenal hernia. Am Surg 69:523–525PubMed

10.

Patten MB (1953) HumuTl embryology, 2nd edn. McGraw-Hill, New York

11.

Bauer SB (1998) Anomalies of the kidney and ureteropelvic junction. In: Walsh PC, Retik AB, Vaughan ED Jr, Wein AJ (eds) Campbell’s urology. Saunders, Philadelphia, pp 1708–1755

Title: A rare case of partial diaphragmatic agenesis with thoracic liver herniation and anteriorly displaced intrathoracic kidney in an adult diagnosed by displaced diaphragmatic crus
Authors: A. Jha
I. Ahmad
I. Naseem
Publication date: 01-12-2014
Publisher: Springer Paris
Published in: Hernia / Issue 6/2014
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-013-1072-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A rare case of partial diaphragmatic agenesis with thoracic liver herniation and anteriorly displaced intrathoracic kidney in an adult diagnosed by displaced diaphragmatic crus

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

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