In , Morgagni described the classical anterior diaphragmatic hernia, which today bears his name—Morgagni hernia. In , Bochdalek described both. Folia Morphol (Warsz). Feb;70(1) A review of Morgagni and Bochdalek hernias in adults. Gedik E(1), Tuncer MC, Onat S, Avci A, Tacyildiz I, Bac B. Most CDHs that are recognized in utero are of the Bochdalek type, resulting from a posterior defect in the diaphragm. Morgagni hernias result from an anterior.

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Bochdalek hernia

Omphalocele Gastroschisis Prune belly syndrome. Thoracoscopic excision of a paraesophageal bronchogenic cyst in a child. The most common type of CDH is a Bochdalek hernia ; other types include Morgagni herniadiaphragm eventration and central tendon defects of the diaphragm. The average infants born with a Bochdalek Hernia stay in the hospital between Offspring of a proband. The baby will usually be immediately placed on a ventilator.

The combined effects of multiple minor genetic variants so-called polygenic inheritance. Congenital diaphragm and abdominal wall defects, abdominopelvic cavity Q Connective tissue dysplasia characterized by tall stature compared to unaffected family membersdisproportionately long extremities, subluxation of the lens, dilatation of the ascending aorta Mathieu syndrome. A more natural patch can be created by slicing and folding over a section of abdominal muscle and securing it to the existing piece of diaphragm.

Table does not include single case reports of CDH. We list the most important complications.

Congenital Diaphragmatic Hernia Overview – GeneReviews® – NCBI Bookshelf

In this instance the diaphragm abnormality is characterized by a hole in the postero-lateral corner of the diaphragm which allows passage of the abdominal viscera into the chest cavity. The pathogenesis of the pulmonary hypoplasia so frequently associated with CDH is not fully known, but appears to have both a primary component, i. Associated malformations and chromosomal anomalies in 42 cases herniq prenatally diagnosed diaphragmatic hernia.


The surgeon makes three or four small incisions either on the abdomen or the chest, views the area of the hernia and gently reduces the contents that have passed through the hernial defect to their proper place.

Newborns should be intubated immediately in the delivery room to avoid bag-mask ventilation and inflation of bowel that has herniated into the chest. Also, if the baby appears to have cyanosis blue-tinted skin this can also be a sign. For a more detailed discussion of chromosome abnormalities and CDH, see Lurie [] and Holder et al [].

Congenital diaphragmatic hernias – Knowledge for medical students and physicians

Facial dysmorphology epicanthal folds, short nose, depressed nasal bridge, micrognathiacleft palate, short stature, short neck, vertebral anomalies, mild intellectual disability, tracheal anomalies.

With the heart, lungs, and abdominal organs all taking up space in the chest cavity, the lungs do not have space to develop properly. Clinical and molecular aspects of the Simpson-Golabi-Behmel syndrome.

Archived from the original on October 31, ECMO may be used temporarily while a baby’s condition stabilizes and improves. Morgagni is “Bochdalek is back and to the left” re the postero-lateral localization.

Several small rearrangements have been found in unrelated individuals, suggesting that one or more genes important for normal diaphragm development reside in these critical regions. Some cases of complex CDH are probably caused by dominant de novo pathogenic bernia, and therefore pose a low recurrence risk to the sibs of the bochdalel.


Loading Stack – 0 images remaining. The symptoms are generally of two types: In this type of hernia liver and the intestines move up into the chest cavity through an opening in the central of the diaphragm called Morgagni foramen.

CDH repair can be done while the baby is on ECMO, although blood thinners increase the risk of bleeding complications.

The stomach, intestine, and other abdominal organs are moved from the chest cavity back to the abdominal cavity. Once the baby no longer needs help from a breathing machine ventilatorhe or she may still need oxygen and medications to help with breathing for weeks, months, or years.


A hearing test should be performed prior to discharge from the bochdalrk. Mutations in LRP2, which encodes the multiligand receptor megalin, cause Donnai-Barrow and facio-oculo-acoustico-renal syndromes. Nonspecific findings such as cortical atrophy, ventriculomegaly, and intracranial hemorrhage can be seen on neuroimaging studies [ Ahmad et alBouman et alRasheed et al ].

A review of Morgagni and Bochdalek hernias in adults.

Unable to process the form. Common abnormalities include ocular hypertelorism, myopia, sensorineural hearing loss, omphalocele or umbilical hernia, enlarged anterior fontanel, agenesis of the corpus callosum, mildly impaired cognitive development, and a characteristic pattern of low molecular weight proteinuria.

When compared to Bochdalek herniasMorgagni hernias are:.