Diaphragmatic hernia

Japanese: 横隔膜ヘルニア - おうかくまくヘルニア（英語表記）Diaphragmatic hernia

What is the disease?

Congenital or acquired diaphragm Hiatus ( Rekko ) (Ripped Hole ( hole ) Hernias are caused by the esophageal hiatus, esophageal canal, or abdominal cavity.

Hiatal hernias account for 80-90% of hernias in adults, and the protruding organ is the stomach.

Bohodalek hernia is a congenital hernia that is most often on the left posterior side, and the small or large intestine escapes. Morgagni hernia is also congenital, most often on the right side, Omentum ( Great! ) (part of the peritoneum that hangs down from the stomach like an apron and covers the area between the transverse colon and the small intestine) or the transverse colon prolapses.

Traumatic hernias occur when the diaphragm is damaged in an accident, etc. They usually occur on the left side, and various organs such as the stomach, small intestine, and large intestine may escape.

What is the cause?

Hiatal hernias can occur as a result of aging, obesity, pregnancy, Turtleback ( Kiha ) (a state in which the back is bent and rounded) and other factors affecting the condition. Therefore, it is more common in elderly women.

Bohodalek hernia and Morgagni hernia are congenital.

Traumatic hernias occur as a result of traffic accidents or falls from heights.

How symptoms manifest

Many people with hiatal hernias have no symptoms. Some may experience retrosternal pain or heartburn that worsens after eating, or may vomit blood or have bloody stools.

If the Bochodalek hernia is large, the baby may develop severe respiratory problems such as dyspnea and cyanosis immediately after birth. Morgagni hernia can range from asymptomatic to dyspnea and cyanosis.

With traumatic hernia, symptoms such as severe pain below the sternum, vomiting, difficulty breathing, and shock may appear immediately after the injury.

Testing and diagnosis

Chest X-rays reveal images of gas in the intestine within the pleural cavity and mediastinum. A gastrointestinal barium contrast test more clearly depicts the prolapsed intestine, providing a definitive diagnosis.

Treatment methods

If you have a hiatal hernia and experience symptoms such as heartburn, you will be given antacids. If you have no symptoms, you can leave it alone.

Bohodalek hernia, Morgagni hernia, and traumatic hernia require surgery. If the diaphragmatic hiatus is closed surgically, the prognosis is good.

What to do if you notice an illness

Older women who experience retrosternal pain or heartburn that worsens after eating should see a physician as they may have a hiatal hernia.

Bohodalek hernia and Morgagni hernia are noticed by obstetricians due to symptoms such as cyanosis immediately after birth.

If you experience severe pain in the lower sternum or difficulty breathing after a traffic accident or fall from a height, you should visit an internal medicine or surgery department as soon as possible.

Jiro Okimoto

Diaphragmatic hernia
Diaphragmatic hernia
(Childhood illnesses)

What is the disease?

Diaphragmatic hernias can be congenital or acquired.

Congenital disorders include: Hole ( like this ) hernia( Posterolateral hiatus ( Kogai Sokkuri School ) hernia), Parasternal foramen ( Defence training ) hernia, Esophageal hiatus ( Food school ) There are three types of hernias. We will explain each one below.