Congenital Diaphragmatic Hernia in an Adult Presenting With Ileus: A Case Report

Abstract

Congenital diaphragmatic hernias (CDHs) are commonly diagnosed in the newborn period. Late symptomatic hernias usually develop on the basis of trauma. In this case, a 44-year-old female patient with Bochdalek hernia who did not have a history of trauma and who applied with vomiting and abdominal pain is presented.

Bochdalek hernia in an adult patient in the disguise of hydropneumothorax - A diagnostic interrogation

“…The incidentally diagnosed asymptomatic posterior diaphragmatic hernia in the 5 th to 7 th decades of life is reported to be10.5%, 13.7%, and 20.3% respectively in a prospective study of chest CT [2]. Isolated cases describing the surgical findings and outcomes of late onset hernias in adults with left sided hernias are sporadically found in the literature [3][4][5][6][7][8][9][10][11][12]. Representative surgical cases are tabulated in Table 1.…”

“…Less common manifestations include breathlessness or chest infections, neoplastic disease, pulmonary sequestration, foreign material aspiration, tension pneumothorax, pneumonia, pleuritis or pulmonary tuberculosis. Late onset of Bochdalek's hernia presenting primarily with respiratory symptoms or strangulation of gangrenous omentum, have been reported [4][5][6][7][8][9][10][11][12][13]. The small fat-containing hernias have no clinical implication, while the large ones containing abdominal viscera are associated with increased morbidity and mortality.…”