Síndrome lumbocostovertebral: primer reporte de caso en Argentina / Lumbocostovertebral syndrome: first case report in Argentina

El síndrome lumbocostovertebral se define por la presencia de hernia lumbar, hemivértebras y anomalías costales. El objetivo de este trabajo es describir el primer caso reportado en Argentina. El paciente fue comunicado a la Red Nacional de Anomalías Congénitas de Argentina. Se describe el cuadro clínico, los diagnósticos diferenciales y los posibles mecanismos patogénicos involucrados. Se sugiere que esta entidad sea considerada como una asociación. La hernia lumbar en un recién nacido es un hallazgo infrecuente y debe pesquisarse la presencia de otras anomalías asociadas.

Lumbocostovertebral syndrome is defined by the presence of lumbar hernia, hemivertebrae and costal anomalies. Our aim was to describe the first case reported in Argentina. The patient was reported to the National Registry of Congenital Anomalies of Argentina. The clinical picture, differential diagnoses and possible pathogenic mechanisms involved are described. We suggest considering this as a lumbocostovertebral association. Lumbar hernia in a newborn is an infrequent finding and other associated anomalies should be evaluated.

rare cause of small bowel obstruction in adults: left paraduodenal internal hernia

A 47 years old lady presented with repeated intermittent, colicky, left upper, and periumblical abdominal pain associated with nausea and vomiting since two years prior to admission. Each episode of the pain spontaneously subsided after bilious vomiting. The patient had no history of surgery, abdominal trauma or intra-abdominal infection, weight loss or previous history for small bowel obstruction [SBO]. MRI enterography was suggestive of internal hernia and surgery documented left paraduodenal [mesocolic] internal hernia [LPDIH]. After surgery the patient was followed for three months without any abdominal symptoms

Congenital lung hernia.

We report a case of a congenital atraumatic lung hernia who underwent a successful operation.

Hérnia de littre: Relato de caso e revisão de literatura / Littres hernia: a case report

A hérnia de littre é uma doença rara em crianças e adultos. Definida como o encontro de um divertículo de Meckel em um saco herniário, seu diagnóstico na maioria das vezes faz-se no intra-operatório, uma vez que 90 porcento dos divertículos de Meckel são assintomáticos. Os autores relatam um caso de hérnia de Littre em uma criança do sexo masculino de dois anos de idade e fazem uma revisão da literatura

In utero correction of pulmonary hypoplasia in congenital diaphragmatic hernia: an animal model

A model of congenital diaphragmatic hernia was created in fetal rabbits by excising a section of diaphragm at 25 days gestation. Animals were sacrificed at 27 and 30 days gastation, then morphological and histological examinations were made for the feti and the lungs. There was a decrease in the lung growth and alveolar development. The changes were most marked in the homo-lateral lungs, but changes were also seen in the contralateral lungs as in human patients with diaphragmatic hernia. In a group of fetal animals with surgically created diaphragmatic hernia, the trachea was occluded by ligation at 27 days and the lungs were examined at 30 days. In the treated group, there was alveolar hyperplasia, with lung per body weight percentage increasing to compensate the change caused by the diaphragmatic hernia. These results indicate that it is possible to reverse the pulmonary hypoplasia in utero. This would improve survival and allow elective and easier repair of the diaphragmatic hernia after birth

Hérnia paraduodenal ou mesocólica: uma causa rara de obstruçäo intestinal / Paraduodenal or mesocolic hernia: a rare cause of intestinal obstruction

Os autores relatam um caso de Hérnia Paraduodenal direita, operado com sucesso. Fazem mençäo especial aos dados anátomo-embriológicos e diagnósticos de patologia, bem como as modalidades de tratamento cirúrgico