RESUMO
The authors report 2 cases of neuroblastoma-associated hepatomegaly, which were treated using a Silastic patch, and discuss in the light of recent reports, the technical aspects and outcome of these children. They were satisfied by the decompression achieved with the patch and believe there is no increased risk in using Silastic rather than other types of material. The outcome for these children depends more on the evolution of the underlying disease than the technical aspects of the abdominal decompression.
Assuntos
Descompressão Cirúrgica , Hepatomegalia/cirurgia , Neoplasias Hepáticas/patologia , Neuroblastoma/patologia , Neuroblastoma/secundário , Terapia Combinada , Feminino , Hepatomegalia/etiologia , Humanos , Lactente , Neoplasias Hepáticas/secundário , Neoplasias Hepáticas/terapia , Masculino , Neuroblastoma/terapia , Resultado do TratamentoRESUMO
Delayed revelation of congenital diaphragmatic hernias (CDH) is not uncommon and can represent 5-30% of total CDHs. Time before diagnosis may be prolonged, sometimes to the adult period. Respiratory and gastrointestinal symptoms are frequent but not specific. The clinical presentation of delayed CDH may thus mislead the practitioner. Diagnosis can be approached and/or confirmed by plain radiography. Outcome is usually favorable after surgery. We report two cases of delayed CDH and we discuss the difficulty of diagnosis.