Acute Med Surg. 2016 Nov 10;4(2):209-212. doi: 10.1002/ams2.249. eCollection 2017 Apr.
Right-sided Bochdalek hernia in an elderly patient: a case review of adult Bochdalek hernias from 1982 to 2015 in Japan.
Acute medicine & surgery
Yasuhiro Ohtsuka, Tiberiu H Suzuki
Affiliations
Affiliations
- Department of General and Emergency Medicine Funabashi Central Hospital of Japan Community Health Care Organization Funabashi Japan.
- Department of Surgery Funabashi Central Hospital of Japan Community Health Care Organization Funabashi Japan.
PMID: 29123864
PMCID: PMC5667271 DOI: 10.1002/ams2.249
Abstract
CASE: An 89-year-old woman was admitted to our hospital because of dyspnea following abdominal pain and vomiting. According to chest computed tomography findings, a diagnosis of acute respiratory failure due to right-sided Bochdalek hernia was made.
OUTCOME: Emergency laparotomy revealed that a bowel loop from the terminal ileum to the transverse colon had herniated into the right thoracic cavity through the foramen of Bochdalek. The herniated organs were reduced to the abdominal cavity and the foramen was repaired by direct suturing. The patient had good recovery and was discharged 78 days later.
CONCLUSION: Bochdalek hernias in elderly patients are rare, but may be complicated by strangulation of the herniated organ. This should be taken into account by acute care physicians. To prevent this fatal complication, regardless of symptoms, surgical treatment may be essential as soon as a diagnosis of adult Bochdalek hernia is made.
Keywords: Acute respiratory failure; Bochdalek hernia; adult; congenital diaphragmatic hernia; right side
References
- Hernia. 2007 Aug;11(4):359-62 - PubMed
- BMC Res Notes. 2014 May 13;7:296 - PubMed
- Hernia. 2011 Feb;15(1):23-30 - PubMed
- World J Radiol. 2012 Nov 28;4(11):450-4 - PubMed
- Paediatr Respir Rev. 2007 Dec;8(4):323-34; quiz 334-5 - PubMed
- Thorac Surg Clin. 2009 Nov;19(4):469-72 - PubMed
Publication Types
