ABSTRACT
Bochdalek hernia is a congenital posterior diaphragmatic defect resulting from failure of the retroperitoneal canal membrane to fuse with the dorsal esophageal mesentery and the body wall. A recent computed tomography study indicated that these defects frequently can be identified on routine chest and abdominal images, and classified them as small, medium, and large, the large ones being identifiable on five or more contiguous axial scans consisting of 1-cm-thick sections. Although the overall prevalence of Bochdalek hernias is 6%, and that of bilateral hernias is 0.9%, to date only a few patients with unilateral or bilateral large hernias have been reported. This article describes an adult with asymptomatic, bilateral, large Bochdalek defects containing herniated retroperitoneal fat.
Subject(s)
Hernia, Diaphragmatic/diagnostic imaging , Hernias, Diaphragmatic, Congenital , Tomography, X-Ray Computed , Adipose Tissue/diagnostic imaging , Female , Humans , Middle Aged , Retroperitoneal SpaceSubject(s)
Lung/diagnostic imaging , Scimitar Syndrome/diagnostic imaging , Adult , Female , Humans , Tomography, X-Ray ComputedABSTRACT
A family affected with Peutz-Jeghers syndrome is reported with an emphasis on radiological findings. A patient showed extensive pigmentation around the lips, buccal mucosa, and nose. Another showed prolonged transient intussusception of a jejunal loop on barium meal examination, and massive rectal bleeding. In this patient, small bowel polyps could also be seen on ultrasonography (US) and computed tomography (CT). On CT several polyps, up to 3 cm in size, were detected along with a "carpeting" pattern of several loops presumably caused by multiple small polyps.
