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DOI: 10.1055/s-0041-1731443
Left-Sided Bochdalek's Hernia in a Young Adult: A Case Report and Literature Review
Funding There were no funding sources required for the completion of this paper.![](https://www.thieme-connect.de/media/10.1055-s-00028781/202103/lookinside/thumbnails/10-1055-s-0041-1731443_1900070cr-1.jpg)
Abstract
Purpose Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek's hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect.
Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh.
Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.
Keywords
Bochdalek's hernia - gastric volvulus - congenital abnormalities - Gore-Tex mesh - dysphagiaPublication History
Received: 28 October 2019
Accepted: 22 April 2021
Article published online:
19 July 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Chatterjee S, Mitra A, Sarkar S, Prasad S. Acute intestinal obstruction: a rare presentation of left sided adult congenital diaphragmatic hernia. Hellenic J Surg 2015; 87 (05) 427-429
- 2 Luther A, Mahajan A. Left-sided Bochdalek hernia in an adult: a case report with review of literature. JIMSA 2015; 28 (01) 33-34
- 3 Wenzel-Smith G. Posterolateral diaphragmatic hernia with small-bowel incarceration in an adult. S Afr J Surg 2013; 51 (02) 73-74
- 4 Yagmur Y, Yiğit E, Babur M, Gumuş S. Bochdalek hernia: a rare case report of adult age. Ann Med Surg (Lond) 2015; 5: 72-75
- 5 Herling A, Makhdom F, Al-Shehri A, Mulder DS. Bochdalek hernia in a symptomatic adult. Ann Thorac Surg 2014; 98 (02) 701-704
- 6 Rehman A, Maliyakkal AM, Naushad VA, Allam H, Suliman AM. A lady with severe abdominal pain following a Zumba dance session: a rare presentation of Bochdalek hernia. Cureus 2018; 10 (04) e2427
- 7 Kanazawa A, Yoshioka Y, Inoi O, Murase J, Kinoshita H. Acute respiratory failure caused by an incarcerated right-sided adult Bochdalek hernia: report of a case. Surg Today 2002; 32 (09) 812-815
- 8 Navakishore K, Sharma D, Rao Gondu G. et al. Surgical management of adult diaphragmatic hernia – an institutional experience. Int J Cont Med Surg Rad 2018; 3 (02) B54-B57
- 9 Ohtsuka Y, Suzuki TH. Right-sided Bochdalek hernia in an elderly patient: a case review of adult Bochdalek hernias from 1982 to 2015 in Japan. Acute Med Surg 2016; 4 (02) 209-212