An Adult Right-sided Bochdalek Hernia Accompanied with Hepatic Hypoplasia and Inguinal Hernia

Choi, Yun Kyung; Ahn, Jae Ho; Kim, Kwan Chang; Won, Tae Hee

doi:10.5090/kjtcs.2012.45.5.348

Cited by 3 publications

(3 citation statements)

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“…[ 61 ] Historically these patients were managed either by an open transabdominal or by a transthoracic approach. However, with the expansion of laparoscopic[ 4 7 8 9 10 12 24 25 26 27 28 ] and thoracoscopic[ 74 75 76 77 78 79 80 81 82 83 84 85 ] expertise and advances in instruments, the minimally invasive approach has emerged as an attractive option. There are, however, several areas of debate and these include the following:…”

Section: Repairmentioning

confidence: 99%

“…[ 27 ] Surgeons should take great care during the fixation of mesh with laparoscopic tacker where the diaphragm is relatively thin and in close proximity to the pericardium. [ 23 ] Following surgery, while some would place an intercostal drainage tube to drain the chest,[ 61 85 88 89 90 91 92 93 ] others would manage with transabdominal suction catheter to evacuate the thorax, just before deflation of the abdomen following the repair. [ 4 ]…”

Section: Repairmentioning

confidence: 99%

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Laparoscopic repair of bochdalek diaphragmatic hernia in adults

Machado

2016

North Am J Med Sci

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Bochdalek hernia (BH) is an uncommon form of diaphragmatic hernia. The rarity of this hernia and its nonspecific presentation leads to delay in the diagnosis, with the potential risk of complications. This review summarizes the relevant aspects of its presentation and management, based on the present evidence in the literature. A literature search was performed on PubMed, Google Scholar, and EMBASE for articles in English on BH in adults. All case reports and series from the period after 1955 till January 2015 were included. A total of 180 articles comprising 368 cases were studied. The mean age of these patients was 51 years (range 15-90 years) with a male preponderance of 57% (211/368). Significantly, 6.5% of patients were above 70 years, with 3.5% of these being above 80 years. The majority of the hernias were on the left side (63%), with right-sided hernias and bilateral occurring in 27% and 10%, respectively. Precipitating factors were noted in 24%, with 5.3% of them being pregnant. Congenital anomalies were seen in 11%. The presenting symptoms included abdominal (62%), respiratory (40%), obstructive (vomiting/abdominal distension; 36%), strangulation (26%); 14% of them were asymptomatic (detected incidentally). In the 184 patients who underwent surgical intervention, the surgical approach involved laparotomy in 74 (40.27%), thoracotomy in 50 (27.7%), combined thoracoabdominal approach in 27 (14.6%), laparoscopy in 23 (12.5%), and thoracoscopic repair in 9 (4.89%). An overall recurrence rate of 1.6% was noted. Among these patients who underwent laparoscopic repair, 82% underwent elective procedure; 66% underwent primary repair, with 61% requiring interposition of mesh or reenforcement with or without primary repair. The overall mortality was 2.7%. Therefore, BH should form one of the differential diagnoses in patients who present with simultaneous abdominal and chest symptoms. Minimal access surgery offers a good alternative with short hospital stay and is associated with minimum morbidity and mortality.

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Section: Repairmentioning

confidence: 99%

Section: Repairmentioning

confidence: 99%

Laparoscopic repair of bochdalek diaphragmatic hernia in adults

Machado

2016

North Am J Med Sci

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“…In terms of preoperative cardiopulmonary problems, 3 patients were initially misdiagnosed with pneumothorax with air in the chest cavity on imaging tests [4,32,40]. A severely dilated stomach or colon in the chest mimicked a pneumothorax on chest X-rays, and 2 patients underwent thoracic drainage.…”

Section: Discussionmentioning

confidence: 99%

Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications

et al. 2020

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Background: Bochdalek hernia in an adult is very rare and often needs an immediate surgical repair for the herniation. Although its etiology and surgical techniques have frequently been reported, perioperative complications, especially cardiopulmonary problems, remain unknown. We reported two adults with Bochdalek hernia and reviewed the published literatures with a focus on these issues. Case presentation: We experienced two adult cases of Bochdalek hernia with gastrointestinal strangulation. One case had massive herniation of the stomach, colon, spleen, and pancreas in the left chest, causing repeated vomiting. The other had a right-side hernia with strangulation of the colon. We successfully performed emergency repairs of these diaphragmatic hernias without any postoperative complications. Conclusions: Our literature review revealed that life-threatening cardiopulmonary complications, such as empyema or cardiac arrest caused by the tamponade effect of the herniated viscera, sometimes occurred in patients with Bochdalek hernia. These complications were found in Bochdalek hernia with gastrointestinal strangulation.

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