Insuficiencia respiratoria hipercapnica como primera manifestacion de una hernia de bochdalek en el adulto
Hypercapnic respiratory insufficiency as presentíng feature of Bochdalek's hernia in an adult patient
A. García-Aranda, P. Arazo Garcés, P. Samperiz Legarre, C. Ramos Paesa
Departamento de Medicina Interna. Hospital Miguel Servet. Zaragoza
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"apellidos" => "Samperiz Legarre" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Ramos Paesa" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Departamento de Medicina Interna. Hospital Miguel Servet. Zaragoza" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "S. Bello Dronda, A. Hernández Caballero, J.R. Muñoz y Fernández" "autores" => array:3 [ 0 => array:3 [ "nombre" => "S." "apellidos" => "Bello Dronda" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Hernández Caballero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "J.R." "apellidos" => "Muñoz y Fernández" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Sección de Neumología. Hospital Miguel Servet. Zaragoza" "etiqueta" => "*" "identificador" => "aff0010" ] 1 => array:3 [ "entidad" => "Prof. Tit. Patología General. Facultad de Medicina de Zaragoza" "etiqueta" => "**" "identificador" => "aff0015" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hypercapnic respiratory insufficiency as presentíng feature of Bochdalek's hernia in an adult patient" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1987-11-18" "fechaAceptado" => "1988-03-21" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La presentación en el adulto de la hernia diafragmática congénita posterolateral izquierda (hernia de Bochdalek), es excepcional. A diferencia del recién nacido, su diagnóstico es con frecuencia casual, dada la pobreza de su sinto-matología, casi siempre de origen abdominal.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Presentamos un caso de hernia de Bochdalek en una enferma de 59 años, que se manifestó inidalmente por un cuadro de insuficiencia respiratoria hipercápnica grave.</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La extrema rareza de su primera manifestación clínica y la inespecificidad de la radiografía de tórax retrasaron su diagnóstico, que se obtuvo por TAC torácica y estudio balitado intestinal.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The ocurrence of congenital left posterolateral diaphragmatic hernia (Bochdalek’s hernia) in adult patients is exceptional. In contradistinction with newborn patients, diagnosis of Bochdalek’s hernia usually is a casual event because of scarcity of symptoms, nearly always from abdominal origin.</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A 59-year-old woman with Bochdalek’s hernia who initially presented with severe hipercapnic respiratory insufficiency is reported.</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The extreme rareness of the first clinical manifestation and inspecificity of chest roentgenogram findings delayed the diagnosis, which was achieved by means of computed tomography scanning and barium swallow study.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:12 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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"referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Bochdalek hernia: prevalence and CT characteristics" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "M.E. 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