{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,3]],"date-time":"2024-04-03T01:19:59Z","timestamp":1712107199501},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"1","content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["MaSeb"],"published-print":{"date-parts":[[2024,4,2]]},"abstract":"<jats:p>Az igen ritka feln\u0151ttkori nem hiat\u00e1lis, azaz nem paraoesophagealis t\u00edpus\u00fa transdiaphragmaticus s\u00e9rveket\u00a0\u2013 a velesz\u00fcletett rekeszizom defektusok mint\u00e1j\u00e1ra \u2013 \u00e1ltal\u00e1nosan Bochdalek, ill. Larey-Morgagni-s\u00e9rveknek nevezik. Etiol\u00f3gia tekintet\u00e9ben a nem diagnosztiz\u00e1lt \u00e9s kezelt velesz\u00fcletett eredet, a traum\u00e1s kont\u00fazi\u00f3s-szakad\u00e1sos, az iatrogen, ill. a recid\u00edv t\u00edpus eml\u00edtend\u0151 meg.<\/jats:p><jats:p>Esetismertet\u00e9s\u00fcnkben egy feln\u0151ttkori recid\u00edv, kiz\u00e1r\u00f3dott Bochdalek-s\u00e9rv sikeres m\u0171t\u00e9ti ell\u00e1t\u00e1s\u00e1t ismertetj\u00fck. A 23 \u00e9ves f\u00e9rfi beteg k\u00f3rel\u0151zm\u00e9ny\u00e9ben 11 \u00e9ves kor\u00e1ban bal oldali Bochdalek-s\u00e9rv miatt v\u00e9gzett thoracoscopos rekeszizom sutura szerepel. Epigastrialis f\u00e1jdalmak, h\u00e1nyinger, h\u00e1ny\u00e1s, akut hasi megbeteged\u00e9s klinikai t\u00fcnetei miatt jelentkezett Int\u00e9zet\u00fcnkben. Az elv\u00e9gzett s\u00fcrg\u0151s mellkasi \u00e9s hasi CT-vizsg\u00e1lat a bal mell\u00fcregben elhelyezked\u0151, kiz\u00e1r\u00f3dott, v\u00e9konyb\u00e9lkacsokat tartalmaz\u00f3 Bochdalek-s\u00e9rvet igazolt. S\u00fcrg\u0151s laparotomia sor\u00e1n az \u00e9letk\u00e9pesnek bizonyult s\u00e9rvtartalmat (a v\u00e9konyb\u00e9ltraktus 2\/3 r\u00e9sze, a colon flexura lienalisa \u00e9s a pancreas farok) a has\u00fcregbe repon\u00e1ltuk, a s\u00e9rvkaput direkt sutur\u00e1val z\u00e1rtuk, \u00e9s sz\u00f6vetszepar\u00e1l\u00f3 seb\u00e9szi h\u00e1l\u00f3val fedt\u00fck, valamint a mell\u00fcreget drain\u00e1ltuk. A postoperat\u00edv szak esem\u00e9nytelen\u00fcl zajlott. Kontroll-CT-vizsg\u00e1lat a reconstru\u00e1lt rekeszizom \u00e9s pleuro-peritonealis r\u00e9tegek folytonoss\u00e1g\u00e1t mutatta. A 10. posztoperat\u00edv napon panaszmentesen bocs\u00e1tottuk otthon\u00e1ba.<\/jats:p><jats:p><jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic> Mint minden kiz\u00e1r\u00f3dott s\u00e9rv eset\u00e9ben, a diagn\u00f3zis mihamarabbi fel\u00e1ll\u00edt\u00e1sa \u00e9s az id\u0151ben elv\u00e9gzett m\u0171t\u00e9t kulcsfontoss\u00e1g\u00fa. A mellkasi dren\u00e1zs sz\u00fcks\u00e9gess\u00e9g\u00e9t minden esetn\u00e9l k\u00f6r\u00fcltekint\u0151en m\u00e9rlegelni kell. A m\u0171t\u00e9t ut\u00e1n a mell- \u00e9s has\u00fcregben kialakult \u00faj anat\u00f3miai viszonyok miatt cardialis \u00e9s respiratoricus sz\u00f6v\u0151dm\u00e9nyek alakulhatnak ki. \u00c1ll\u00e1spontunk szerint a betegs\u00e9g ritkas\u00e1ga miatt centrumban kezelend\u0151. Ezen ritka \u00e1llapot sikeres gy\u00f3gy\u00edt\u00e1sa t\u00f6bbszakm\u00e1s egy\u00fcttm\u0171k\u00f6d\u00e9sen alapul, melynek meghat\u00e1roz\u00f3 eleme a helyesen megv\u00e1lasztott rekeszi felsz\u00ednt helyre\u00e1ll\u00edt\u00f3 m\u0171t\u00e9ti technika alkalmaz\u00e1sa.<\/jats:p>","DOI":"10.1556\/1046.2024.10005","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T09:38:23Z","timestamp":1712050703000},"page":"23-27","update-policy":"http:\/\/dx.doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Recid\u00edv, kiz\u00e1r\u00f3dott, feln\u0151ttkori Bochdalek-s\u00e9rv m\u0171t\u00e9ti megold\u00e1sa"],"prefix":"10.1556","volume":"77","author":[{"given":"Bal\u00e1zs","family":"Cs\u00e9falvay","sequence":"first","affiliation":[{"name":"D\u00e9l-Pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Csaba","family":"Pol\u00e1nyi","sequence":"additional","affiliation":[{"name":"D\u00e9l-Pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e9za","family":"Telek","sequence":"additional","affiliation":[{"name":"D\u00e9l-Pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bal\u00e1zs","family":"Kesser\u0171","sequence":"additional","affiliation":[{"name":"D\u00e9l-Pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Di\u00e1na","family":"Szeleczky","sequence":"additional","affiliation":[{"name":"D\u00e9l-Pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"V\u00f6r\u00f6s","sequence":"additional","affiliation":[{"name":"D\u00e9l-Pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferenc","family":"Ender","sequence":"additional","affiliation":[{"name":"D\u00e9l-Pesti Centrumk\u00f3rh\u00e1z, Orsz\u00e1gos Hematol\u00f3giai \u00e9s Infektol\u00f3giai Int\u00e9zet, Szent Istv\u00e1n K\u00f3rh\u00e1z telephely, Seb\u00e9szeti Oszt\u00e1ly, Budapest, Magyarorsz\u00e1g"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"B1","series-title":"Front Surg","article-title":"Embryology of the abdominal wall and associated malformations-A review","volume":"9","author":"Pechriggl E","year":"2022","unstructured":"Pechriggl E, Blumer M, Tubbs RS, Olewnik \u0141, Konschake M, Fort\u00e9lny R, et al. 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