Laparoscopic surgery for a Bochdalek hernia triggered by pregnancy in an adult woman: A case report

Matsudera, Shotaro; Nakajima, Masahiro; Takahashi, Masakazu; Muroi, Hiroto; Kikuchi, Maiko; Shida, Yohei; Ihara, Kensuke; Yamaguchi, Satoru; Sasaki, Kenji; Terauchi, Takashi; Kato, Hiroyuki

doi:10.1016/j.ijscr.2018.04.028

Cited by 10 publications

(15 citation statements)

References 16 publications

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“…Intraoperatively, adhesions between the herniated viscera and a sac or the lungs were often observed (n = 6, 11%), and adhesiolysis was safely performed by both abdominal and thoracic approaches [8,20,21,34,55,57]. Gastrointestinal strangulation was detected (stomach: n Fig.…”

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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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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“…The 94 remaining case studies, published between 1999 and 2019, matched our inclusion criteria for this analysis. We accessed and analyzed 96 case reports of adult BH including the present case (Table 1) [10][11][12][13][14][15].…”

Section: Discussionmentioning

confidence: 99%

“…Surgical reduction of the prolapsed organs and the closure of the hernia orifice is required. Although recently published studies have described the efficacy of thoracoscopic and/or laparoscopic repair for BH in adults, there are currently no established optimal approaches or methods [2,4,[10][11][12][13][14][15]. Herein, we describe our experience of adult BH in detail and review in light of surgical options from the available literature on Japanese cases.…”

Section: Introductionmentioning

confidence: 98%

Laparoscopic repair of a Bochdalek hernia in an elderly patient: a case report with a review from 1999 to 2019 in Japan

et al. 2020

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Background A Bochdalek hernia (BH) is a congenital defect of the diaphragm that generally presents in the newborn as life-threatening cardiorespiratory distress. In contrast, the diagnosis of a BH in adults is rare. Surgical repair for adult BH is recommended, but the optimal surgical method remains unclear. Case presentation A 75-year-old woman presented with progressive dyspnea and back pain, and a diagnosis of BH was made based on chest X-ray and computed tomography. Laparoscopic evaluation revealed a defect in the left posterior attachment of the diaphragm, and a left-sided BH without hernia sac was diagnosed. Parts of the stomach, small intestine, colon, pancreas, and spleen had prolapsed into the left thoracic cavity, without ischemic change, and these herniated organs were reduced to the abdominal cavity. A direct closure of the hernia orifice was possible by the laparoscopic suture technique using a mesh reinforcement. The patient made an uneventful recovery, and no recurrence was found in the 2-year follow-up. Conclusion A recently published study reviewing detailed cases of repair of adult BH from 1999 to 2019 identified 96 cases, including the present case. The number of reports on laparoscopic and/or thoracoscopic surgery for BH in adults has recently increased, and the approach for repairing BH should be selected carefully on a case-by-case basis.

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“…Bochdalek hernias which are most common types of diaphragmatic hernia comprise 90% of congenital diaphragmatic hernias [1]. Because most cases of Bochdalek hernias are diagnosed during the neonatal period, diagnosis in adults is rare [2]. An adult Bochdalek hernia (ABH) is usually caused by a state of increased intra-abdominal pressure, such as pregnancy and operations under the pneumoperitoneum [3].…”

Section: Introductionmentioning

confidence: 99%

Right-sided Bochdalek hernia containing retroperitoneal fat in the elderly: report of a case

2019

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Background Most cases of Bochdalek hernias are diagnosed during the neonatal period and arise on the left side. We report a rare case of a right-sided Bochdalek hernia in an elderly patient. Case presentation A 72-year-old man presented with chest tightness and nausea. He had no history of thoracic and abdominal trauma. Preoperative CT scan showed a well-circumscribed mass in the right thoracic cavity of 28-cm diameter compressing the right lower lobe. The mass was mostly fat component and seemed to connect with retroperitoneal fat. We made some diagnoses: lipoma, liposarcoma, and diaphragmatic hernia. Surgical resection was performed by thoracotomy so as to resect the mass and repair the defect of the diaphragm. The mass seemed to be retroperitoneal fat which escaped from the hernia orifice. The neck of the mass was separated by a vessel-sealing device immediately above the hernia orifice. The defect of the diaphragm was repaired by direct suturing after completion of resection. Microscopic pathologic examination showed that the mass was maturated fat tissue. Four months postoperatively, there was no evidence of recurrence of the hernia. Conclusions The diagnosis of an adult Bochdalek hernia is often difficult, so it is important to consider the examination carefully and to determine the better surgical procedure.

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Laparoscopic surgery for a Bochdalek hernia triggered by pregnancy in an adult woman: A case report

Abstract: HighlightsWe report a case of Bochdalek hernia (BH) triggered by pregnancy in a pregnant adult.Laparoscopic surgery can be safely performed for BH without complications.We reviewed 30 cases of laparoscopic and/or thoracoscopic repair of adult BH.

Cited by 10 publications

References 16 publications

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

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

Laparoscopic repair of a Bochdalek hernia in an elderly patient: a case report with a review from 1999 to 2019 in Japan

Right-sided Bochdalek hernia containing retroperitoneal fat in the elderly: report of a case

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