hernia bochdalek dan hiatus serta pneumothorax

8/20/2019 Hernia Bochdalek Dan Hiatus Serta Pneumothorax

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Hernia Bochdalek danHiatus serta

Pneumothorax


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Hernia Bochdalek


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Hernia Hiatus


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Hiatal hernia. Figure 1 shows the normal relationship of the gastroesophageal junction,stomach, esophagus, and diaphragm. Figure 2 shows a sliding hiatal hernia where thestomach immediately elow the gastroesophageal junction is seen to prolapse through thediaphragmatic hiatus into the chest. Figure ! shows a paraesophageal hernia in which thecardia or fundus of the stomach prolapses through the diaphragmatic hiatus, lea"ing thegastroesophageal junction within the esophageal ca"ity.


8/18

#nteroposterior $left and lateral "iews $right% on a chest radiographshowing a large hiatal hernia. &ourtesy of 'a"id (. )raham, *'.


9/18

Barium study shows a sliding hiatal hernia+ he gastric folds can e seenextending ao"e the diaphragm. &ourtesy of 'a"id (. )raham, *'.


10/18

# paraesophageal hernia is seen on an upper gastrointestinal series.-ote that the gastroesophageal junction remains elow the diaphragm.

&ourtesy of 'a"id (. )raham, *'.


11/18

Paraesophageal hernia is seen on arium upper gastrointestinalseries. he mucosal folds are seen going up into the chest, next to

the esophagus. &ourtesy of 'a"id (. )raham, *'.


12/18

Barium radiograph "iew of a large paraesophageal hernia. &ourtesy

of 'a"id (. )raham, *'.


13/18

# large paraesophageal hernia in which the entire stomach is seen inthe chest ca"ity. &ourtesy of 'a"id (. )raham, *'.


14/18

Barium studies show gastric "ol"ulus as the herniated stomachundergoes rotation. his situation reuires surgical inter"ention.

&ourtesy of 'a"id (. )raham, *'.


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Pneumothorax


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/imple Pneumothorax

•0olaps seagian padaparu kiri•apangan paru luarterlihat hitam $tanda

panah%.


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ension Pneumothorax


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• menunjukkan adanya potensi kondisi yang fataldari tension pneumothorax $pneumothoraxyang diseakan karena adanya penekanan%.

• Pada Foto nspirasi, paru kanan semuanyakolaps, tetapi mediastinum erada ditengah.

• Pada Foto 3kspirasi, udara terjeak dihemithorax kanan di awah tekanan positif,

jantung dan paru kiri tertekan ke arah kiri. 4enaalik jantung mengalami ostruksi denganpotensi hasil yang fatal jika ca"um pleura tidaksegera ditindak lanjuti.

hernia bochdalek dan hiatus serta pneumothorax

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