Right‐sided Bochdalek hernia in an elderly patient: a case review of adult Bochdalek hernias from 1982 to 2015 in Japan

Ohtsuka, Yasuhiro; Suzuki, Tiberiu H.

doi:10.1002/ams2.249

Cited by 20 publications

(48 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Postoperatively, some patients needed respiratory support, including mechanical ventilation or pleural effusion puncture (n = 7) [10,11,32,37,43,50,53]. The most severe respiratory complication was empyema (n = 4), which led to the death of one patient [8,39,42,54].…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Consequently, complicated BH are rarely suspected, and the diagnosis is often delayed [9,10]. This affects prognosis; a mortality rate of 2.7-12% has been reported in previous studies [1,11,12]. Due to the rarity of these cases, little is known about the follow-up period, longterm complications or the chance of recurrence.…”

Section: Discussionmentioning

confidence: 99%

“…Most patients showed acute dyspnea, abdominal pain or signs of gastrointestinal obstruction at presentation to the ED. However, cases without abdominal pain were also described [8,11,15]. Various imaging techniques were used for the diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Right-Sided Bochdalek Hernia with Cecum Perforation

Faraj¹,

Janssen²,

Goor³

et al. 2020

SCR

View full text Add to dashboard Cite

Background: A Bochdalek hernia is one of the most frequently occurring congenital diaphragmatic hernias, and it occurs in 1 out of 2,500 births. Clinical cases of adults with symptomatic Bochdalek hernias are very rare. We describe a patient with an incarcerated Bochdalek hernia who underwent emergency surgery and presented with a recurrence after three years. Comparable cases in the literature were reviewed. Case Presentation: A 56-year-old woman presented to the emergency department with acute dyspnea and pain in the epigastrium shortly after gastroscopy. A CT scan showed right sided intrathoracic herniation of the ascending colon and signs of perforation of a hollow viscus. During the operation, a suture repair of a cecal perforation as well as of a diagrammatic lesion was performed. The thorax and abdomen were lavaged and drained. The postoperative course was uneventful. After 3 years, the patient presented with colic pain in the upper abdominal quadrants. A small recurrence of the Bochdalek hernia was observed on a computed tomography scan and was managed with watchful waiting. A systematic search of comparable acute cases of Bochdalek hernias was performed. Conclusion: An incarcerated right colon with a perforation in a Bochdalek hernia is extremely rare; only 11 comparable cases of right sided Bochdalek hernia with acute symptoms are described in the literature. Recurrent Bochdalek hernias are even rarer. As a delay in the diagnosis or a missed diagnosis can ultimately lead to death, adequate imaging is warranted when considering a recurrence of a Bochdalek hernia.

show abstract

“…Pleuroperitoneal hiatus are present in both sides of the septum transversum early in development, but both defects close around the eighth week of gestation. The left-sided defect is generally the last to close, and a failure of closure of this defect leads to a Bochdalek CDH [ 3 ]. This also explains why Bochdalek herniae tend to occur on the left side in almost 90% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…First presentation of a Bochdalek CDH in adulthood is exceedingly rare, and most such cases are diagnosed when the hernia becomes obstructed and complications develop [ 3 - 4 ]. Possible explanations for delayed presentation of Bochdalek CDH may include the small size of diaphragmatic defect, presence of a confining sac (made of pleura or peritoneum), and plugging of the defect with omentum.…”

Section: Discussionmentioning

confidence: 99%

A Lady with Severe Abdominal Pain Following a Zumba Dance Session: A Rare Presentation of Bochdalek Hernia

Rehman¹,

Maliyakkal²,

Naushad³

et al. 2018

Cureus

View full text Add to dashboard Cite

A Bochdalek hernia is a congenital diaphragmatic hernia that results from a failure of closure of the pleuroperitoneal folds during embryologic development. While it is most often diagnosed in neonates and infants, Bochdalek hernias can rarely present in adulthood for the first time. We describe the case of a 42-year-old lady who presented with sudden onset of severe abdominal pain following a Zumba dance session. Her chest radiograph showed an elevated left hemi-diaphragm with visualization of a gastric bubble in the thorax. A computed tomography (CT) scan of the abdomen showed a defect in the left hemi-diaphragm with herniation of the stomach and abdominal viscera through the defect. The patient was taken for diagnostic laparoscopy, and the diaphragmatic defect was repaired with a synthetic mesh. Perioperatively, perforation of the anterior wall of the stomach was noted, and a diagnosis of Bochdalek hernia with gastric strangulation was made. This case demonstrates a rare presentation of Bochdalek hernia in an adult with strangulation and perforation of the stomach. Clinicians need to be aware of this rare but life-threatening clinical entity in order to secure a timely diagnosis and institute appropriate management.

show abstract

Right‐sided Bochdalek hernia in an elderly patient: a case review of adult Bochdalek hernias from 1982 to 2015 in Japan

Cited by 20 publications

References 6 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

Right-Sided Bochdalek Hernia with Cecum Perforation

A Lady with Severe Abdominal Pain Following a Zumba Dance Session: A Rare Presentation of Bochdalek Hernia

Contact Info

Product

Resources

About