Thoracoscopic-assisted repair of a bochdalek hernia in an adult: a case report

<p>Abstract</p> <p>Introduction</p> <p>Bochdalek hernia is a congenital defect of the diaphragm that usually presents in the neonatal period with life-threatening cardiorespiratory distress. It is rare for Bochdalek hernias to remain silent until adulthood. Once a Bochdalek hernia has been diagnosed, surgical treatment is necessary to avoid complications such as perforation and necrosis.</p> <p>Case presentation</p> <p>We present a 17-year-old Japanese boy with left-upper-quadrant pain for two months. Chest radiography showed an elevated left hemidiaphragm. Computed tomography revealed a congenital diaphragmatic hernia. The spleen and left colon had been displaced into the left thoracic cavity through a left posterior diaphragmatic defect. We diagnosed a Bochdalek hernia. Surgical treatment was performed via a thoracoscopic approach. The boy was placed in the reverse Trendelenburg position and intrathoracic pressure was increased by CO₂gas insufflations. This is a very useful procedure for reducing herniated contents and we were able to place the herniated organs safely back in the peritoneal cavity. The diaphragmatic defect was too large to close with thoracoscopic surgery alone. Small incision thoracotomy was required and primary closure was performed. His postoperative course was uneventful and there has been no recurrence of the diaphragmatic hernia to date.</p> <p>Conclusion</p> <p>Thoracoscopic surgery, performed with the boy in the reverse Trendelenburg position and using CO₂gas insufflations in the thoracic cavity, was shown to be useful for Bochdalek hernia repair.</p

A rare cause of acute abdomen: Perforated primary sarcomatoid carcinoma of the small intestine-Report of a case, with a brief review of the literature

PubMed: 22044822[No abstract available

Evaluation of electromagnetic interference emitted from compact fluorescent lamps according to CISPR-15

In this study, Electromagnetic interference (EMI) emitted by the compact fluorescent lamps (CFL) having biggest pie in the market has been investigated according to CISPR-15. Emissions of CFLs vary depending on trademark, since some cannot provide the requirements of CISPR-15 standards such that they act as contaminants in the electric supply system. Conducted analysis considering the limits of CISPR-15 at 150-500 kHz frequency brings out that the effect of CFL produced by Company A at 181.298 kHz is 83.94 dB?V, whereas the effect of CFL produced by Company D at 173.593kHz frequency is 49,92dB?V, respectively. Obtained results are out of CISPR-15 limits of 66-56 dB?V.Brno University of Technology, Faculty of Electrical Engineering and Communication, Department of Theoretical and Experimental Electrical Engineering;Brno University of Technology, SIX - Research Centre of Sensor, Information and Communication System;Czech Technical University in Prague, Faculty of Biomedical Engineering (FBME), Department of Biomedical Technique;Czech Technical University in Prague, Faculty of Electrical Engineering (FEE), Department of EM Field;EMBS Chapter of the IEEE Czechoslovakia Section;et al

Multiple Caeco-Appendiceal Fistulas and Diverticulosis: A Newly Defined Congenital Anomaly of the Appendix-Report of the First Case

PubMed: 21567291Introduction: Congenital anomalies of the appendix are extremely rare. They are usually found incidentally during operations other than appendectomies. Congenital appendix diverticula are even less frequent. Discussion: Congenital caeco-appendiceal fistulae have not been reported until today. Herein, we present real diverticula of the appendix with multiple caeco-appendiceal fistulae which, to our knowledge, is the first in the literature. © 2011 The Society for Surgery of the Alimentary Tract