questionsmedicales.fr
États, signes et symptômes pathologiques
États anatomopathologiques
Hernie
Hernie interne
Hernie diaphragmatique
Hernie diaphragmatique : Questions médicales fréquentes
Diagnostic
5
Hernie diaphragmatique
Imagerie médicale
Symptômes
Douleur thoracique
Examen physique
Bruits intestinaux
Tests sanguins
Diagnostic
Symptômes
5
Symptômes
Reflux gastro-œsophagien
Douleur abdominale
Hernie diaphragmatique
Asymptomatique
Hernie diaphragmatique
Effort physique
Symptômes
Prévention
5
Prévention
Hernie diaphragmatique
Exercices physiques
Prévention
Traitements
5
Chirurgie
Hernie diaphragmatique
Traitements non chirurgicaux
Symptômes
Complications
5
Complications
Obstruction intestinale
Urgence médicale
Strangulation
Complications
Hernie non traitée
Prévention
Diagnostic précoce
Récupération
Complications
Facteurs de risque
5
Facteurs de risque
Obésité
Chirurgie abdominale
Facteurs de risque
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"@type": "Question",
"name": "Comment diagnostique-t-on une hernie diaphragmatique ?",
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"@type": "Question",
"name": "Quels tests sont utilisés pour confirmer une hernie ?",
"position": 2,
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"@type": "Question",
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"name": "La hernie diaphragmatique est-elle visible à l'examen physique ?",
"position": 4,
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"@type": "Question",
"name": "Quels sont les symptômes courants d'une hernie diaphragmatique ?",
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"@type": "Question",
"name": "La hernie diaphragmatique cause-t-elle des douleurs abdominales ?",
"position": 7,
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{
"@type": "Question",
"name": "Les symptômes varient-ils selon l'âge ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les symptômes peuvent être plus prononcés chez les nouveau-nés et les personnes âgées."
}
},
{
"@type": "Question",
"name": "Peut-on avoir une hernie sans symptômes ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certaines personnes peuvent avoir une hernie diaphragmatique asymptomatique."
}
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{
"@type": "Question",
"name": "Les symptômes s'aggravent-ils avec l'effort ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'effort physique peut aggraver les symptômes de la hernie diaphragmatique."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir une hernie diaphragmatique ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de méthode garantie pour prévenir une hernie diaphragmatique."
}
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{
"@type": "Question",
"name": "Les exercices physiques aident-ils à prévenir les hernies ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des exercices de renforcement abdominal peuvent réduire le risque de hernie."
}
},
{
"@type": "Question",
"name": "Le contrôle du poids est-il important ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, maintenir un poids santé peut réduire le risque de développer une hernie."
}
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{
"@type": "Question",
"name": "Les femmes enceintes sont-elles à risque ?",
"position": 14,
"acceptedAnswer": {
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"text": "Oui, la grossesse peut augmenter le risque de hernie diaphragmatique en raison de la pression abdominale."
}
},
{
"@type": "Question",
"name": "Fumer augmente-t-il le risque de hernie ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut affaiblir les tissus et augmenter le risque de hernie."
}
},
{
"@type": "Question",
"name": "Quel est le traitement principal pour une hernie diaphragmatique ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le traitement principal est chirurgical pour réparer le diaphragme et réduire la hernie."
}
},
{
"@type": "Question",
"name": "Des médicaments sont-ils utilisés pour traiter la hernie ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des médicaments peuvent être prescrits pour soulager les symptômes, mais pas pour la hernie elle-même."
}
},
{
"@type": "Question",
"name": "La physiothérapie aide-t-elle après une chirurgie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la physiothérapie peut aider à la réhabilitation après une chirurgie de hernie."
}
},
{
"@type": "Question",
"name": "Y a-t-il des traitements non chirurgicaux ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements non chirurgicaux sont limités et visent principalement à gérer les symptômes."
}
},
{
"@type": "Question",
"name": "Quelle est la durée de récupération après une chirurgie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La récupération peut prendre de quelques semaines à plusieurs mois selon la gravité."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir avec une hernie diaphragmatique ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'obstruction intestinale et la strangulation des organes."
}
},
{
"@type": "Question",
"name": "La strangulation est-elle une urgence médicale ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, la strangulation nécessite une intervention chirurgicale immédiate pour éviter des dommages."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications sont rares mais peuvent survenir, surtout si la hernie n'est pas traitée."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un diagnostic précoce et un traitement approprié peuvent aider à prévenir les complications."
}
},
{
"@type": "Question",
"name": "Les complications affectent-elles la récupération ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les complications peuvent prolonger le temps de récupération après une chirurgie."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque d'une hernie diaphragmatique ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'obésité, la grossesse et des antécédents familiaux de hernie."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque de hernie ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge en raison de l'affaiblissement des tissus."
}
},
{
"@type": "Question",
"name": "Les antécédents de chirurgie abdominale sont-ils un facteur de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les antécédents de chirurgie peuvent affaiblir le diaphragme et augmenter le risque."
}
},
{
"@type": "Question",
"name": "Le tabagisme est-il un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le tabagisme peut affaiblir les tissus et augmenter le risque de hernie."
}
},
{
"@type": "Question",
"name": "Les efforts physiques intenses augmentent-ils le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des efforts physiques intenses peuvent augmenter le risque de hernie diaphragmatique."
}
}
]
}
]
}
Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 07/03/2025
Contenu vérifié selon les dernières recommandations médicales
7 publications dans cette catégorie
Affiliations :
Department of Paediatric Surgery, McGovern Medical School at the University of Texas Health Science Center, Houston, TX, USA.
The Comprehensive Center for CDH Care, Children's Memorial Hermann Hospital, Houston, TX, USA.
6 publications dans cette catégorie
Affiliations :
Department of Surgery, Division of Paediatric Surgery, Paediatrics & Child Health, Physiology & Pathophysiology, University of Manitoba, Winnipeg, Manitoba, Canada.
Children's Hospital Research Institute of Manitoba, Winnipeg, Manitoba, Canada.
5 publications dans cette catégorie
Publications dans "Hernie diaphragmatique" :
4 publications dans cette catégorie
Affiliations :
Division of General and Thoracic Surgery, The Hospital for Sick Children, Department of Surgery, University of Toronto, Toronto, Ontario, Canada. augusto.zani@sickkids.ca.
Developmental and Stem Cell Biology Program, Peter Gilgan Centre for Research and Learning, The Hospital for Sick Children, Toronto, Ontario, Canada. augusto.zani@sickkids.ca.
Publications dans "Hernie diaphragmatique" :
4 publications dans cette catégorie
Affiliations :
Department of Development and Regeneration, Cluster Woman and Child and Clinical Department of Obstetrics and Gynaecology, University Hospitals, KU Leuven, Leuven, Belgium.
Institute for Women's Health, UCL, London, UK.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Neonatology, University Children's Hospital Mannheim, University of Heidelberg, Mannheim, Germany.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Division of Pediatric Surgery, Le Bonheur Children's Hospital, University of Tennessee Health Science Center, Memphis, TN, USA.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Neonatology, Royal Hospital for Children, Glasgow, UK.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
The Richard Wood Jr. Center for Fetal Diagnosis and Treatment and Division of Neonatology, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Pediatric Surgery, McGovern Medical School at UT Health and Children's Memorial Hermann Hospital, Houston, TX, USA.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Pediatric Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-Ku, Chiba, 260-8677, Japan. kta@cc.rim.or.jp.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Pediatric Surgery, Reproductive and Developmental Medicine, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Division of Neonatology, Center for Maternal-Neonatal Care, Nagoya University Hospital, Nagoya, Japan.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Pediatric Surgery, Osaka Women's and Children's Hospital, Izumi, Japan.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Surgery, University of California Irvine Medical Center, Orange, CA, United States; Division of Pediatric Surgery, Children's Hospital of Orange County, Orange, CA, United States. Electronic address: yguner@hs.uci.edu.
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Obstetrics and Gynaecology Department, Centre de Référence Maladie Rare: Hernie de Coupole Diaphragmatique, Hôpital Antoine Béclère, Université Paris Sud, AP-HP, Clamart, France; European Reference Network on Rare and Inherited Congenital Anomalies "ERNICA".
Publications dans "Hernie diaphragmatique" :
3 publications dans cette catégorie
Affiliations :
Department of Pediatric Surgery and Intensive Care, Erasmus MC-Sophia Children's Hospital, Rotterdam, Netherlands.
Publications dans "Hernie diaphragmatique" :
2 publications dans cette catégorie
Affiliations :
Department of Neonatology, University Children's Hospital Mannheim, University of Heidelberg, Mannheim, Germany. Neysan.Rafat@umm.de.
Publications dans "Hernie diaphragmatique" :
2 publications dans cette catégorie
Affiliations :
Department of Paediatrics, Columbia University, New York, NY, USA.
Publications dans "Hernie diaphragmatique" :
Few studies have implied the incidence of diaphragmatic hernia (DH) after spontaneous pneumothorax (SP) with unknown mechanisms. The current study aimed to identify whether there is an association bet...
We selected 46,897 patients with SP (SP cohort) and 46,897 without SP (non-SP matched cohort) from the National Health Insurance Database. Patients were frequency matched according to age, sex, and in...
The results suggested there were significant associations between SP and DH, especially in the subgroup of patients with older age (aged 40-64 years: 2.61-fold in adjusted hazard ratio (aHR), 95% conf...
The SP cohort had a higher incidence of DH than the non-SP matched cohort. A prospective study of indications based on the findings of the current research should be performed....
Presentation of congenital diaphragmatic hernia in adulthood is rare. Further, most cases are attributable to Bochdalek and Morgagni hernias with central tendon hernias being particularly uncommon. We...
Laparoscopic intraperitoneal onlay mesh repair is favoured for diaphragmatic hernias due to better outcomes. However, fixation devices pose risks, including cardiac tamponade. A man underwent laparosc...
Post-hepatectomy diaphragmatic hernia is the second most common cause of acquired diaphragmatic hernia. This study aims to review the literature on this complication's incidence, treatment and prognos...
Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, we systematically searched PubMed for all studies related to acquired diaphragmatic hernias after ...
We included 28 studies in our final analysis, comprising 11,368 hepatectomies. The incidence of post-hepatectomy diaphragmatic hernia was 0.75% (n = 86). The most frequent type of hepatectomy performe...
Diaphragmatic hernia is a rare complication occurring mainly after right liver resection. Repair should be performed once detected, given the not-negligible associated mortality in the emergency setti...
Surgical approaches for traumatic diaphragmatic hernia include transabdominal, transthoracic, and thoracoabdominal. Selection of the optimal approach depends on the timing and organ damage, often mini...
The creation of sagittal balance of the spine is critical in the treatment adult spinal deformity. Anterior column release (ACR) has gained traction as a minimally invasive alternative to pedicle subt...
To highlight the difficulties encountered in diagnosing, managing, and treating iatrogenic diaphragmatic hernia in the setting of ACR and stress the relevant retropleural, retroperitoneal, and diaphra...
In this technical note, we discuss the relevant anatomy in a direct lateral approach to the thoracolumbar junction and the management of an iatrogenic diaphragmatic hernia, which occurred in a patient...
Three months after surgery, our patient was assessed in clinic and endorsed significant improvements in her pain and mobility. Her 3-month postoperative scoliosis x-rays demonstrated a significant imp...
Iatrogenic diaphragmatic hernia with an intrathoracic spleen after direct lateral ACR is a risk spine surgeons should be aware of and address promptly....
To report a case of prenatal diagnosis of ectopic intrathoracic kidney with diaphragmatic hernia managed surgically after birth, and to conduct a review of the literature on prenatal diagnosis of ecto...
We report the case of a 28-week fetus in which, on ultrasound imaging, a mass was observed displacing the heart and lung in the right hemithorax, which was was confirmed by magnetic resonance (MR) to ...
The search identified 8 studies that met the inclusion criteria, reporting a total of 8 cases. Ultrasound diagnosis showed ectopic intrathoracic kidney associated with diaphragmatic hernia in all the ...
Ectopic intrathoracic kidney is a congenital abnormality amenable to prenatal diagnosis. Survival after corrective surgery performed in the neonatal period is common. There is a paucity of publication...
In 15% of patients with iron deficiency anemia, large diaphragmatic hernias are found as the cause of chronic iron loss. Conversely, iron deficiency anemia is present in 10-40% of diaphragmatic hernia...
We retrospectively analyzed 116 patients with diaphragmatic hernias larger than 5 cm for the presence of anemia and the effect of surgery on this anemia, dividing these patients into 4 groups (group A...
Women significantly predominated in the patient population (76%). Patients with iron deficiency anemia tended to be significantly older than patients without iron deficiency anemia (74.7 ± 12.2 vs. 69...
ASA use and advanced age are risk factors for the presence of iron deficiency anemia in patients with large diaphragmatic hernias. Surgical hernia repair is suitable to reduce anemia....
Genetic contributions to hernia development are incompletely understood. This study performed the first comprehensive genome-wide association study (GWAS) for diaphragmatic hernia using a large popula...
Two-stage GWAS (discovery and confirmation) was performed for diaphragmatic hernia in the UKB. Briefly, 275,549 and 91,850 subjects were randomly selected for association tests in Stages 1 and 2, resp...
36,351 patients were identified with diaphragmatic hernia (ICD-10 K44). In Stage 1 analysis, 2654 SNPs were associated (P < 1 × 10...
We identified 245 SNPs at 14 susceptibility loci associated with diaphragmatic hernia in a large population-based cohort. These results offer insight into pathogenetic mechanisms of diaphragmatic hern...
Acquired diaphragmatic hernia (ADH) is a rare complication after liver surgery in adult and pediatric patients. In the literature, a few low case series have been reported. Its incidence is estimated ...