Journal of Clinical PracticeJournal of Clinical Practice2220-30952618-8627Eco-Vector825310.17816/clinpract4212-19Research ArticleCONGENITAL DIAPHRAGMATIC HERNIAS IN ADULTSZvezdkinaE Azvezdkina@yandex.ruLesnyakV Nlesnyak_kb83@mail.ruBelovM A-BriginevichT A-1506201342121916032018Copyright © 2013, Zvezdkina E.A., Lesnyak V.N., Belov M.A., Briginevich T.A.2013Congenital diaphragmatic hernias are generally appearing in childhood, but are also occasionally detected in asymptomatic adult patients. Computed tomography is used for the correct diagnosis the hernia type and for its localization, facilitating its management and the choice of treatment. We report the case of parasternal diaphragmatic hernia of Morgagni-Larrey and two cases of posteriolateral Bochdalek diaphragmatic hernia. The patients showed no symptoms and were not surgically treated.Congenital diaphragmatic herniadiaphragmBochdalek herniaMorgagni-Larrey herniacomputed tomographyврожденная диафрагмальная грыжадиафрагмагрыжа Богдалекагрыжа Ларрея-Морганьикомпьютерная томография[Bermejo E., Cuevas L., Mendioroz J., et al. Surveillance of congenital anomalies in Spain: analysis of the ECEMC's data during the period 1980-2006. Bol ECEMC Rev Dismor Epidemiol 2007; 5: 54-80.][Richardson W., Bolton J. Laparoscopic repair of congenital diaphragmatic hernias. J Laparoendosc Adv Surg Tech A 2002; 12: 277-280.][Tazuke Y., Kawahara H, Soh H., Yoneda A., et al. Congenital diaphragmatic hernia in identical twins. Pediatr Surg Int 2000; 16:512-514.][Pober B. Overview of epidemiology, genetics, birth defects, and chromosome abnormalities associated with CDH. Am J Med Genet. 2007; 145: 158-171.][Allan D., Greer J. Pathogenesis of nitrofeninduced congenital diaphragmatic hernia in fetal rats. J Appl Physiol 1997; 83: 338-347.][Bremer J.L. The diaphragm and diaphragmatic hernia. Archs Path 1943; 36: 539-49.][Wells L.J. Development of the human diaphragm and pleural sacs. Carnegie Contr Embryol 1954; 35: 107-134.][Horton J., Hofmann L., Hetz S. Presentation and management of Morgagni hernias in adults: a review of 298 cases. Surg Endosc 2008; 22: 1413-20.][Аврелькина Е.В., Перетятко Л.П. Морфологические особенности грудобрюшной перегородки при врожденной диафрагмальной грыже. Вестник ЧГПУ им. И. Я. Яковлева. 2012; 2 (74): 3-8.][Mullins M., Stein J., Saini S., Mueller P. Prevalence of incidental Bochdalek's hernia in a large adult population. AJR 2001; 177: 363-366.][Gaerte S., Meyer C., Winer-Muram H., Tarver R. et al. Fat-containing lesions of the chest. RadioGraphics 2002; 22: 61-78.][Losanoff J., Sauter E. Congenital posterolateral diaphragmatic hernia in an adult. Hernia 2004; 8:83-85.]