Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 17 iunie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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RETROSTERNAL HERNIA A CHILDREN
– REPORT OF TWO CASES –
Dana Măndrăşescu, G. Aprodu, V. Munteanu
Department of Pediatric Surgery
„St. Mary” Emergency Children Hospital Iaşi, Romania
Jurnalul de chirurgie 2009; 5 (2): 187-191
Full text:
Format PDF (Română/Romanian)

Abstract:

The retrosternal hernia is a rather rare affection encountered in the pediatric population, having an incidence of 1-6% of all the diaphragmatic hernias. It is generally asymptomatic, but it may present with respiratory or gastrointestinal symptoms. We present two patients with retrosternal hernia admitted with respiratory (recurrent repiratory infections before presentation) and gastrointestinal symptoms, respectively (weight stagnation for about four months and regurgitations). The final diagnosis was established on examining the colon appearance, after performing a barium enema, which in both cases revealed the intrathoracic, transdiaphragmatic and retrosternal colon herniation. Surgery was performed immediately after diagnosis, consisting in a median laparotomy with closure of the diaphragmatic gap with separate stitches, without having the hernia sac resected. The patients were discharged on the eighth postoperative day and on the fourth one, respectively. The clinical and X-ray controls performed one month after surgery revealed good results. When dealing with retrosternal hernias in children, surgery must be performed in order to close the diaphragmatic gap as soon as the diagnosis is certain, because of the high risk of complications. Even the resection of the hernia sac was not performed in any of the two presented cases, the long-term follow-up showed a favourable course.

KEY WORDS: RETROSTERNAL HERNIA, FORAMEN OF MORGAGNI

Correspondence to: Gabriel Aprodu, MD, PhD, Assoc. Professor of Surgery, Department of Pediatric Surgery, „St. Mary” Emergency Children Hospital Iaşi, 700309, StreetVasile Lupu, No 62, Iaşi, Romania; phone: 0232 / 264266



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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.