Display options
Share it on

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

  1. 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

References

  1. Indian J Surg. 2013 Jun;75(Suppl 1):303-4 - PubMed
  2. Clinics (Sao Paulo). 2012;67(2):199-201 - PubMed
  3. Ann Thorac Surg. 2014 Aug;98 (2):701-4 - PubMed
  4. J Cardiothorac Surg. 2014 Feb 10;9:31 - PubMed
  5. BMC Res Notes. 2014 May 13;7:296 - PubMed
  6. Hernia. 2011 Feb;15(1):23-30 - PubMed
  7. Asian J Endosc Surg. 2015 Aug;8(3):354-6 - PubMed
  8. Chirurgia (Bucur). 2015 Jan-Feb;110(1):84-7 - PubMed

Publication Types