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J Thorac Cardiovasc Surg 2005;129:444-445
© 2005 The American Association for Thoracic Surgery

Brief Communications

Septum transversum diaphragmatic hernia in an adult

Massimiliano Paci, MDa,*, Salvatore de Franco, MDa, Edoardo Della Valle, MDb, Guglielmo Ferrari, MDa, Valerio Annessi, MDa, Tommaso Ricchetti, MDa, Giorgio Sgarbi, MDa

a Division of Thoracic Surgery, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy
b 1st Department of General Surgery, Laparoscopic Surgery Unit, Arcispedale Santa Maria Nuova, Reggio Emilia, Italy

Received for publication May 11, 2004; revisions received May 27, 2004; accepted for publication June 2, 2004.

* Address for reprints: Massimiliano Paci, MD, Division of Thoracic Surgery, Viale Risorgimento 80, 42100 Reggio Emilia, Italy (E-mail: paci.massimiliano@asmn.re.it).

The first 20% of the full text of this article appears below.


Dr Paci


Central diaphragmatic hernia is a rare defect of the coelomic cavity and, in particular, of the septum transversum. An absent or undeveloped pars sternalis of the septum transversum determines the persistence of the pericardial-peritoneal canal, with more or less wide communication between the pericardial and the peritoneal cavities. This malformation can be associated in various ways with other midline congenital defects and Cantrell pentalogy.1 No diagnostic case in adults has ever been described in the literature. We thus report an incidentally diagnosed case in an adult that was repaired with laparoscopy.


   Clinical summary
 
The patient is a 58-year-old white man whose family history and medical history are unremarkable. During the interview, he reported some recent episodes of melena. The patient was admitted to the department of internal medicine, where laboratory tests revealed severe anemia. Thoracic radiography was performed, revealing a retrosternal, anterobasal, mediastinal air-fluid level. A subsequent thoracoabdominal computed tomographic scan showed an anterior retrosternal diaphragmatic hernia (Figure 1) identified as a Morgagni-Larrey hernia, with herniation in the thoracic cavity of the fundus . . . [Full Text of this Article]




This article has been cited by other articles:


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G. La Greca, M. Sofia, V. Randazzo, F. Barbagallo, R. Lombardo, P. Soma, and D. Russello
Asymptomatic Congenital Intrapericardial Diaphragmatic Hernia and Epigastric Hernia in the Adult
Ann. Thorac. Surg., August 1, 2007; 84(2): 638 - 640.
[Abstract] [Full Text] [PDF]


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