When there is a hole in the diaphragm or when certain spot in diaphragm becomes weak, abdominal contents make its way into the chest cavity. This condition is medically known as diaphragmatic hernia. Diaphragm is the muscle which helps us to breath. Hiatus hernia in adults: it occurs when the stomach portion along with lower esophagus moves above the diaphragm. Pain in the chest, burning pain below the breast bone is observed while lying down; this is caused due to acid reflux. It is more commonly observed in obese persons and in females.
Giant congenital diaphragmatic hernia in an adult | Journal of Cardiothoracic Surgery | Full Text
Diaphragm is the muscle that separates the chest cavity from the abdominal cavity. With a diaphragmatic hernia some of the organs normally present in the abdomen move up into the chest cavity. There are two types of diaphragmatic hernia: Bochdalek hernia: In this type of hernia stomach and the intestines move up into the chest cavity through an opening on the left side of the diaphragm called the Bochdalek formen. Morgagni hernia: 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. When a part of the diaphragm, either towards its centre or its periphery fails to develop properly a diaphragmatic hernia ensues. The precise reason why this happens is not known. Sometimes as a result of an accident or injury to the chest with a sharp object the diaphragm gets damaged.
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Giant congenital diaphragmatic hernia in an adult
Bochdalek hernia is the most common type of congenital diaphragmatic hernia. It appears frequently in infants but rarely in adults. We present the case of a year-old female han patient with tremendous left-sided congenital posterolateral diaphragmatic hernia Bochdalek hernia who also has a pair of supernumerary breasts and pulmonary hypoplasia of the lower-left lobe. The patient had an experience of misdiagnosis and she was treated for bronchitis for one year until being admitted to our hospital. This case study emphasizes the rare presentation of Bochdalek hernia in adults and the necessity of high clinical attention to similar cases.
A diaphragmatic hernia, or hiatal hernia, occurs when a piece of a patient's stomach migrates up into the chest through an opening in the diaphragm muscle. Women older than the age of 50 who smoke or are overweight are at the highest risk of developing a diaphragmatic hernia, according to the Cleveland Clinic. Adults who develop diaphragmatic hernia symptoms should consult a physician for further evaluation and care.