• 한국임상수의학회지
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• 제40권5호
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• pp.354-359
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• 2023

This case report describes the clinical presentation and successful surgical repair of a diaphragmatic hernia-related small intestinal strangulation in a neonatal foal. A nine-day-old foal presented with colic signs and respiratory distress. History taking showed that the dam of the foal experienced difficulty during delivery, and the owner assisted in delivery by pulling on the foal. Radiography and ultrasonography confirmed the diaphragmatic rent and the presence of a small intestine within the thoracic cavity. Surgical intervention was required to repair the diaphragmatic defect and address the intestinal strangulation. The diaphragm was reconstructed, and the nonviable incarcerated portion of the small intestine was resected and anastomosed using an end-to-end technique. This unusual case report provides insights into the surgical repair and outcomes of an acquired diaphragmatic hernia in a neonatal foal.

• Journal of Chest Surgery
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• 제28권5호
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• pp.481-486
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• 1995

During the Dec.1990 to April.1994, 14 patients were diagnosed in the Department of Thoracic and Cardiovascular surgery, Medical college of Chonnam National University,as having congenital Bochdalek hernia. All of them diagnosed and operated before the age of 20 days, neonatal period. 3 of 14 were died after operation, so mortality rate was 21%, the deaths occurred in 1,1,13 days neonate. In this retrospective study we describe our experience and results with review of the literature.

• Journal of Chest Surgery
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• 제6권1호
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• pp.109-112
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• 1973

Bochdalek hernia is the most common congenital diaphragmatic hernia and that of the foramen of Bochdalek is rare in right side of the diaphragm. Two cases of right Bochdalek hernia were reported in literatures published in Korea. The first case was associated with hypoplasia of the lung and could not be survived. The second case [four months old male infant] was operated on August 28, 1971. at Ewha University Hospital arid survived. The third case was a three months old male infant who had been born at 8th lunar month in a private clinic. During the period of three months prior to admission this premature infant was suf-fered from mild respiratory distress measured as pneumonia. On December 20. 1972, this infant was admitted at Kyung Hee University Hospital with severe respiratory distress developed abruptly. Chest X-ray examination [barium study] demonstrated right diaphragmatic hernia. Right hemithorax was filled with intestines and right lobe of the liver which were repositioned back into the peritoneal cavity through the foramen of Bochdalek. 3. 0 cm x3.5 cm in size, and the defect was closed with interrupt mattress sutures. There was hypospadia with chordee but no other associated anomalies such as hypoplasia of the lung, malrotation or malfixation of intestines, and cardiovascular anomalies. The Postoperative hospital course was not eventful and the baby was discharged on the 14th postoperative day.

• Journal of Chest Surgery
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• 제31권2호
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• pp.162-167
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• 1998

저자들은 1976년 1월 부터 1997년 3월 까지 21년간 외상성 횡격막 파열 52례 중 지연성 외상성 횡격막 탈장 6례를 치험 하였는데 이중 남자는 4례, 여자는 2례였으며 우측은 1례였다. 둔상에 의한 경우는 5례였고 자상은 1례였다. 수술은 모두 개흉술을 시행 하였고 복부로 절개를 연장한 경우가 1례 있었다. 외상성 흉부 손상을 입었을 때 횡격막 파열을 의심하는 것이 중요하며 흉강경을 이용하여 진단및 치료를 할 수 있다.

• 한국임상수의학회지
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• 제29권1호
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• pp.87-92
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• 2012

A six months old, male Shih Tzu dog was referred to the Veterinary Medical Teaching Hospital at Kangwon National University, for lethargy, respiratory embarrassment. Survey radiography revealed enlarged cardiac silhouette due to displacement of gas-filled intestine in the pericardium. Although there were no specific clinical signs, this case was diagnosed as peritoneopericardial diaphragmatic hernia (PPDH) based on the results of positive contrast radiography and thoracic ultrasonograpic findings. In addition, the thickened gall bladder wall observed in ultrasonography, increase of alkaline phosphatase and neutrophils indicated cholecystitis. Two hepatic lobes and gall bladder were severely necrotized and adhere to the diaphragm. Direct reduction of the herniated organs might cause hepatic hemorrhage and bile juice leakage which may induce very poor prognosis. To solve the problems, the adhered organs were dissected with part of diaphragm, and lobectomy with cholecystectomy was performed for prevention of some possible complications including peritonitis. This is case report describing resection of part of diaphragm adhered to herniated organ reduce the risk of possible hepatic hemorrhage during surgical correction of PPDH followed bycholecystectomy and lobectomy.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제9권1호
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• pp.92-97
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• 2006

선천성 횡격막 내장탈출은 드문 질환으로 산전 초음파로 횡격막 헤르니아와 감별하는 것은 쉽지 않다. 선천성 횡격막 내장탈출과 횡격막 헤르니아의 예후가 다르고 수술적 접근 방식이 다를 수 있어 정확한 감별 진단이 필요하다. 저자들은 산전 초음파 검사에서 선천성 횡격막 헤르니아로 진단되었으나 수술 시에 선천성 횡격막 내장탈출로 진단된 두 증례의 후향적 분석을 통하여 비록 출생 직후의 단순 흉부 사진으로는 두 질환의 감별 진단이 어려웠으나 연속적인 단순흉부사진에서 뚜렷하게 드러나는 병변 측 횡격막을 확인하는 경험을 하였다. 따라서 산전 초음파 검사에서 횡격막 헤르니아로 진단되었다 하더라도 출생 이후에 촬영한 연속적인 단순흉부사진의 주의 깊은 판독을 통한 재평가를 강조하고자 한다.

• Journal of Chest Surgery
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• 제40권2호
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• pp.155-158
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• 2007

선천성 횡격막탈장은 신생아기에 응급 수술을 요하는 질환으로 주로 좌측에 많이 발생한다. 우측 선천성 횡격막 탈장은 드물며 증상이 경미하여 신생아기 이후에 발견되는 경우가 많다. 치료는 전통적으로 개흉술을 통한 횡격막 봉합술이 시행되지만 흉강경을 이용한 수술이 적용되어 좋은 결과들이 보고되고 있다. 우리는 우측 선천성 횡격막 탈장을 가진 5개월된 여아를 흉강경을 이용하여 수술하였기에 보고하는 바이다.

• Journal of Chest Surgery
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• 제6권2호
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• pp.243-248
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• 1973

Eventration of the diaphragm is, by definition, abnormally high or elevated position of diaphragm as a result of paralysis, aplasia or atrophy of varing degrees of muscle fibers, and the cause of which may be congenital or acquired. The unbroken continuity of the diaphragm differentiates it from diaphragmatic hernia. The clinical manifestations of the condition, if present, are usually due to the interference of the ventilatory function of the lung and digesive dysfunction due to gastrointestinal distorsion. Treatment consists of surgical repair of the relaxed diaphragm to it`s normal position. A ease of left sided eventuration of the diaphragm, 31 year old officer, was found by chance after traffic accident with chief complaints of hemoptysis and multiple superficial contusions. Routine chest roentgenogram and barium study of the colon revealed moderately elevated left hemidiaphragm with displacement of the splenic flexure of the colon into the left chest. Past history revealed frequent attack of upper respiratory infection and some abnormal condition on his left chest announced by screen cheek of chest X-ray at the time of entrance for his army service 3 years before. Plication of the relaxed diaphragm through left thoracotomy was done and result was excellent as seen on Fig. 5. Cause of eventration of the left hemidiaphragm was due to paralysis of the left phrenic nerve which was tested during thoracotomy.

• Journal of Chest Surgery
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• 제6권2호
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• pp.237-242
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• 1973

Two cases of traumatic diaphragmatic hernia are reported, who were operated on in this department during the last 12 months` period. The first case, a 34 year old male, fell from 6 meters` height while he was working on electric pole. He sustained rib fractures, left 8th, 9th and 10th rib, left diaphragmatic rupture and ileal perforation. In the pleural cavity, there were stomach, omentum, left lobe of liver, transverse colon and ileum, which were reduced into the peritoneal cavity, and the diaphragmatic aperture was closed through anterolateral thoracotomy. After closure of the thoracic incision, median abdominal incision was made and closed the ileal perforation by primary suture. The second case was a 19 year old tyre repairman, who felt abrupt severe abdominal pain during lifting a heavy lyre. A barium study revealed a marked displacement of the stomach into the left pleural cavity. Immediately, thoracotomy was performed and closed the ruptured diaphragm after reduction of the herniated stomach, omentum, transverse colon, spleen and small intestine. The size of the diaphragmatic aperture were measured 17cm. in first case and 12cm. in the other respectively. Both cases discharged after uneventful recovery.

• Journal of Chest Surgery
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• 제8권1호
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• pp.45-50
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• 1975

Eleven cases of traumatic diaphragmatic hernia treated at the department of thoracic and cardiovascular surgery, for the period of seven years up to February 1975, from the base of this report. 1. Peak incidence was found in the age group of one to four years and thirty to forty years, four cases in each group respectively, occupying 63.6% of all cases. 2. In all the lesions the left diaphragm was affected and the herniated organs were in order of frequency the small bowel, the large intestine, the stomach, and the spleen. 3. The methods of the adapted treatment were laparatomy in five, thoracoabdominal approach in four, and thoracotomy in two cases. 4. The mortality rate was low, only one out of eleven died It seems that the immediate appropriate treatment can bring forth the excellent outcome.