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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2016, Cilt 30, Sayı 3, Sayfa(lar) 143-145
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A Rare Case: Atypical Localized Diaphragmatic Hernia
Mehmet SARAÇ1, Ünal BAKAL1, Tugay TARTAR1, Mehmet Yusuf SARI2, Emine Burcu ÇIĞŞAR KUZU3, Ahmet KAZEZ1
1Fırat Üniversitesi, Tıp Fakültesi, Çocuk Cerrahi Anabilim Dalı, Elazığ, TÜRKİYE
2Fırat Üniversitesi, Tıp Fakültesi, Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Elazığ, TÜRKİYE
3Tepecik Eğitim ve Araştırma Hastanesi, Çocuk Cerrahisi Anabilim Dalı, İzmir, TÜRKİYE
Keywords: Diapragmatic Hernia, Anterolateral hernia, Atypical hernia

Diaphragmatic hernia occurs frequently in two types; Bochdalek and Morgagni. This anterolateral localized rare case, causing serious nutritional problems was presented due to its late diagnosis. Fifteen-year-old boy with history of intermittent vomiting and failure to thrive was consulted to our pediatric surgery unit for haematemesis and dehydration. On general examination, there was no breath sounds on left bottom side of the thorax and scaphoid abdomen was seen. The Chest X-ray revealed air-fluid levels at left bottom hemi-thorax. Thorax-BT defined the pathology as diaphragmatic hernia containing the fundus of the stomach. Laparatomy revealed defect on left anterio-lateral part of diaphragma holding portion of the gastric fundus corpus and omentum by fibrotic bands, which was repaired primarily. Oral feeding began 48 hours post operatively and patient was discharged on seventh day without any complications. Although the majority diaphragmatic hernias give signs in early childhood, this case has been identified late as it was an atypically localized defect. Diaphragmatic hernia should be kept in mind in patients with longstanding gastric complaints and malnutrition.

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