Prevalence of Incidental Bochdalek's Hernia in a Large Adult Population

Mullins, Mark E.; Stein, Jeffrey A.; Saini, Sanjay S.; Müeller, Peter R.

doi:10.2214/ajr.177.2.1770363

Cited by 253 publications

(249 citation statements)

References 12 publications

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“…Fourteen percent were bilateral, which corresponded to 0.02% of the total population in that study. 7 In adults the majority of Bochdalek hernias are found incidentally as they are usually small and asymptomatic. 2,6,[8][9][10][11] In the rare cases in which symptoms do occur, especially in adults, a triggering event is usually present, such as trauma, exercise, sexual intercourse, anxiety, or another factor associated with increased metabolic demand or thoracic and abdominal pressure, such as pregnancy, labor, large food ingestion, and even sneezing or coughing.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Bochdalek Hernias Presenting as Respiratory Failure in an Elderly Patient

et al. 2011

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Bochdalek hernia occurs from a congenital defect of the diaphragm, allowing the passage of abdominal structures into the thoracic cavity, limiting lung expansion and ventilatory function. Bochdalek hernia is common in neonates but rarely occur in adults; there are only 4 documented cases in the elderly population. We present a case of an 88-year-old woman with severe hypoxia and respiratory failure that required ventilatory support, in whom bilateral Bochdalek hernias progressed over the years and severely invaded the thoracic cavity, causing acute decompensation. This is a rare condition in adults but can cause substantial morbidity when the involvement of the thoracic cavity is severe.

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Section: Discussionmentioning

confidence: 99%

Bilateral Bochdalek Hernias Presenting as Respiratory Failure in an Elderly Patient

et al. 2011

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“…In 97% of cases the anomaly is unilateral with a left side preponderance. The hernia content can include the stomach, bowel loops, spleen or part of the liver [1][2][3][4]. CHH may remain asymptomatic or induce only nonspecific gastrointestinal and/or thoracic symptoms [1][2][3][4][5][6].…”

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confidence: 99%

“…The hernia content can include the stomach, bowel loops, spleen or part of the liver [1][2][3][4]. CHH may remain asymptomatic or induce only nonspecific gastrointestinal and/or thoracic symptoms [1][2][3][4][5][6]. The symptomatology of these patients is usually non-specific, in the form of repeated attacks of chest infection and/or recurrent vomiting, but can be associated with serious complications such as intra-thoracic gastric volvulus with incarceration and strangulation [1,5,6].…”

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confidence: 99%

“…CHH may remain asymptomatic or induce only nonspecific gastrointestinal and/or thoracic symptoms [1][2][3][4][5][6]. The symptomatology of these patients is usually non-specific, in the form of repeated attacks of chest infection and/or recurrent vomiting, but can be associated with serious complications such as intra-thoracic gastric volvulus with incarceration and strangulation [1,5,6]. Because of the gastroesophageal reflux, linear ulcerations on the esophageal mucosa might occur and cause intermittent bleeding.…”

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confidence: 99%

“…Plain chest radiographs, AP and lateral, may raise a suspicion of the condition, while upper gastrointestinal contrast series are diagnostic [5][6][7]. The treatment is surgery consisting of excision of the hernial sac after reducing the stomach and repair of the diaphragmatic defect by tightening the crura of the esophageal hiatus [1,5]. If the defect is large and associated with displacement of the gastroesophageal Fig.…”

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Incidental Hiatal Hernia Detected with Meckel’s Scintigraphy

Aksoy

Kıratlı²

2010

Nucl Med Mol Imaging

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Population‐based analysis of left‐ and right‐sided diaphragmatic hernias demonstrates different frequencies of selected additional anomalies

Slavotinek

Warmerdam²,

Lin

et al. 2007

American J of Med Genetics Pt A

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Congenital diaphragmatic hernia (CDH) is a common birth defect that can be subdivided into several different types depending on the anatomical structures affected. Several studies have demonstrated that right-sided CDH (R-CDH) and left-sided CDH (L-CDH) in humans are associated with different clinical presentations and outcomes. We hypothesized that R-CDH and L-CDH are phenotypically and pathogenically distinct, and that the frequency of associated anomalies would differ among patients with R-CDH compared to patients with L-CDH. Using population-based data from ongoing studies in the California Birth Defects Monitoring Program (CBDMP), we compared 146 CDH cases, 38 with R-CDH (26%) and 108 with L-CDH (74%). The frequencies of atrial septal defect (1/38 R-CDH and 20/108 L-CDH cases; P = 0.015), bilateral pulmonary hypoplasia (22/108 L-CDH cases and 15/38 R-CDH cases; P = 0.029), abnormal skull or facial shape (17/108 L-CDH patients and 1/38 R-CDH cases; P = 0.043), assorted digital anomalies excluding syndactyly, polydactyly or absence of a digit (13/108 L-CDH patients and 0/38 R-CDH patients; P = 0.021) and assorted limb anomalies excluding limb reduction defects (18/108 L-CDH patients and 0.38 R-CDH patients; P = 0.004) all showed a statistically significant difference in frequency between R- and L-CDH patients. This descriptive epidemiological study using newborn surveillance data represents the largest comparison of right and left-sided CDH patients so far performed. Several anomalies as listed above were noted to be different in frequency between R- and L-CDH patients, although the interpretation of the significant variability in the frequency of these anomalies is not yet established and the findings require replication. Birth defects monitoring programs can provide the interface for epidemiology and clinical genetics, which in this case, may generate hypotheses to establish the pathogenesis of CDH laterality. (c) 2007 Wiley-Liss, Inc.

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Prevalence of Incidental Bochdalek's Hernia in a Large Adult Population

Abstract: Bochdalek's hernia is not rare, and the incidence of Bochdalek's hernias that contain enteric tract is higher than previously reported. This incidence likely represents a conservative estimate because some Bochdalek's hernias may have been overlooked or unreported.

Cited by 253 publications

References 12 publications

Bilateral Bochdalek Hernias Presenting as Respiratory Failure in an Elderly Patient

Bilateral Bochdalek Hernias Presenting as Respiratory Failure in an Elderly Patient

Incidental Hiatal Hernia Detected with Meckel’s Scintigraphy

Population‐based analysis of left‐ and right‐sided diaphragmatic hernias demonstrates different frequencies of selected additional anomalies

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