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A case of Bochdalek hernia with anomalous hepatic lobe heterotopia-case report
Egyptian Pediatric Association Gazette ( IF 0.5 ) Pub Date : 2021-11-30 , DOI: 10.1186/s43054-021-00075-x
Wajiha Khan 1 , Adnan Safi 2 , Asrar Ahmad 3, 4 , Mehwish Mooghal 3, 4
Affiliation  

Bochdalek hernia is the most common type of congenital diaphragmatic hernia (CDH) resulting from postero-lateral diaphragmatic defect. Hepatic heterotopia is very rarely associated with CDH, and hepatic herniation favors the worst prognosis. We present a case of a neonate diagnosed with right Bochdalek hernia (BH) with anomalous hepatic lobe heterotopia. Intra operatively, mal-rotated loops were also found to be herniating in the right hemithorax. The mal-rotated loops were reduced back into abdomen after performing Ladd’s procedure and diaphragmatic defect was repaired over the anomalous liver lobe. Baby was discharged on 7th postoperative day and follow-ups showed good recovery. This case report discusses the presentation, classification, and significance of this association. Our case report is noteworthy as Bochdalek hernia is very rarely associated with anomalous hepatic lobe.

中文翻译:

Bochdalek疝伴异常肝叶异位病例报告

Bochdalek 疝是最常见的先天性膈疝 (CDH) 类型,由后外侧膈肌缺损引起。肝异位很少与 CDH 相关,肝疝预后最差。我们介绍了一个被诊断为右侧 Bochdalek 疝 (BH) 并伴有异常肝叶异位的新生儿病例。在手术中,还发现旋转不良的袢在右半胸突出。在执行 Ladd 手术后,旋转不良的袢被缩小回腹部,并修复了异常肝叶上的膈肌缺损。宝宝术后第7天出院,随访显示恢复良好。本病例报告讨论了这种关联的表现、分类和重要性。
更新日期:2021-11-30
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