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• W2034160522 abstract "DIAPHRAGMATIC hernia as a clinical entity has of recent years become so common a finding that it would be superfluous to report a single case unless there were something unusual in regard to anatomy, diagnosis, or treatment. Diaphragmatic hernias are divided by most observers into two main types: traumatic and non-traumatic. The non-traumatic type is practically always congenital. These two types are cross-divided into so-called “true hernias,” or those in which there is a hernial sac, and those without a sac, so-called “false hernias.” Either type may be congenital or acquired. While we have said that non-traumatic hernias are nearly always congenital, we mean that, as in the case of other herniations from the abdominal cavity, there is a muscular weakness or deficiency which predisposes to the development of hernias later in life, if it is not already partially present at birth. If the herniation is present at birth, it is due to embryologic deficiency, usually without an enclosing sac. The most common sites of such herniations are: (1) through the esophageal opening; (2) through the foramen of Bachdoleck (hiatuspleuro peritonalis); (3) through the dome of the diaphragm; (4) through the foramen Morgagni; (5) through the congenital absence of the left half of the diaphragm. Hernias which are non-traumatic and acquired following birth, but which may be included in the congenital group because of the congenital predisposition, take place usually at the same sites. If acquired after birth, the hernia as a rule has an enclosing sac. Traumatic types as a rule arise as a result of a crushing injury or puncture wound and usually herniate either through the esophageal opening or the posterior portion of the left side of the diaphragm. If along the esophagus, there is usually a sac, and if through the leaf of the diaphragm there is usually no sac. Of course, if there is direct injury to the diaphragm itself, the hernia may occur at any point. All of this information in regard to herniations of the diaphragm is already well established. Most of them, whether traumatic or non-traumatic, whether congenital or acquired, occur on the left side of the diaphragm in subjects who are cardiosinistra, since close apposition of the liver to the diaphragm usually prevents herniations on the right side. Greenwald and Steiner (15) state that the proportion is about 77 per cent on the left side and 20 per cent on the right, with about 2.5 per cent occurring on both sides. We have looked through the literature of recent years and are unable to find a case corresponding to the one about to be discussed. In this case, herniation took place on the right side of the diaphragm posteriorly, behind the outer crus through the mesial lumbocostal arch; it was the distal end of the stomach, pyloric valve, and some six inches of the duodenum which were herniated. The fundus of the stomach and cardiac orifice remained in the abdomen underneath the left dome of the diaphragm." @default.
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• W2034160522 date "1934-02-01" @default.
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• W2034160522 title "A Case of Right-sided Atypical Diaphragmatic Hernia" @default.
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• W2034160522 doi "https://doi.org/10.1148/22.2.241" @default.
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