Ann Med Surg (Lond). 2015 Dec 08;5:72-5. doi: 10.1016/j.amsu.2015.11.012. eCollection 2016 Feb.
Bochdalek hernia: A rare case report of adult age.
Annals of medicine and surgery (2012)
Yusuf Yagmur, Ebral Yiğit, Mehmet Babur, Serdar Gumuş
Affiliations
Affiliations
- Gazi Yasargil Teaching and Research Hospital, Department of surgery, Diyarbak?r, Turkey.
PMID: 26865978
PMCID: PMC4710759 DOI: 10.1016/j.amsu.2015.11.012
Abstract
INTRODUCTION: Bochdalek hernia is the most common type of congenital diaphragmatic hernia and constitutes 85% of cases. Bochdalek hernia (BH) in adults is extremely rare. We present a BH case in an adult patient and discuss the literature.
PRESENTATION: 22-year-old female patient with abdominal pain, occasional cramps, dysphagic problems, constipation, shortness of breath and choking for about 2 years applied to our clinic.
DIAGNOSIS: A defect about 5 cm in the left hemidiaphragm posterior area and herniation of intra-abdominal fat plan in the left hemithorax was seen in intravenous and oral whole abdominal CT.
TREATMENT: Patient was operated laparoscopically. Transverse colon and a large portion of the omentum entering into hemidiaphragm were pulled in to intraperitoneal area carefully. Approximately 10 × 8 cm intraabdominal mesh was fixed to the defect area with the help of laparoscopic tacker.
CONCLUSION: Adult BH is very rare and when confronted laparoscopic treatment with mesh fixation can be performed safely.
Keywords: Adult; Bochdalek hernia; Laparoscopic treatment
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