Bochdalek hernia: A rare case report of adult age

Abstract

IntroductionBochdalek 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.Presentation22-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.DiagnosisA 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.TreatmentPatient 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.ConclusionAdult BH is very rare and when confronted laparoscopic treatment with mesh fixation can be performed safely.

Bochdalek Hernia with Gastric Necrosis in a 54-Year-Old Man, Case Report and Review of the Literature

“…Bochdalek hernia is a congenital posterolateral diaphragmatic defect described since 1848. Late diagnosis in adult life is estimated in 5% of cases, and since the Alexander Bochdalek description only about 130 cases of this pathology in adults have been reported in the literature [4]. The general incidence is 1 in 2200 to 12,500 live births, with late diagnosis in 0.17%-12.7% [2].…”

“…The general incidence is 1 in 2200 to 12,500 live births, with late diagnosis in 0.17%-12.7% [2]. It accounts for 78-90% of diaphragmatic hernias, without sex predominance, but left presentation is more common than right (85% vs 12%) [4].…”

“…In an extensive literature review the frequent symptoms presented include chest pain in 69%, obstruction 39%, pulmonary symptoms like dyspnea 37%, strangulated viscera related symptoms 28% and others 20%. Asymptomatic cases account for 14% [4]. In the case of incarcerated organs the most frequently displaced include stomach followed by colon, spleen and small bowel [1].…”

Gastric Obstruction in Adult by Congenital Diaphragmatic Hernia

“…1,2 As HDC são raras em adultos, e possuem um espectro de apresentação desde assintomáticas ou podem haver sintomas vagos, como: dor torácica, dor abdominal, dispneia, empachamento e vômitos. 3,4,5,6,7,8 Além disso, elas podem mimetizar as hérnias paraesofagenas, fazendo com que sua identificação seja difícil. 9 O diagnóstico pode ser estabelecido por meio de exames complementares de imagem do tórax, como a radiografia simples e a tomografia.…”

Rare presentation of a Bochdalek hernia in adulthood with incarcerated splenic flexure of the colon mimicking diverticulitis: a report and review

“…None of them had a previous abdominal surgery or abdominal pathologies. Eight were repaired with a mesh …”