A Case of Bochdalek Hernia Developed Immediately After Laparoscopic-Assisted Abdominoperineal Resection of Rectum in an Adult

Nishiwaki, Seiji; Saeki, Noriyuki; Yomoda, Daisuke; Sugo, Yoshikazu; Kitami, Akihiko; Nakayama, Shigeki

doi:10.3919/jjsa.72.2822

Cited by 2 publications

(2 citation statements)

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“…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]. Around 80–90% of Bochdalek hernias arise on the left side [4].…”

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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Section: Introductionmentioning

confidence: 99%

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

2019

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“…An adult Bochdalek hernia is usually precipitated by a state of increased intra-abdominal pressure, such as that induced by pregnancy or from prolonged operations under pneumoperitoneum [ 4 ]. Thus, as the number of laparoscopic-assisted operations increases, it is important to consider a Bochdalek hernia as a potential intraoperative or postoperative complication.…”

Section: Introductionmentioning

confidence: 99%

Right-sided Bochdalek hernia in an elderly adult: a case report with a review of surgical management

Moro¹,

Kawahara²,

Muneoka³

et al. 2017

surg case rep

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BackgroundBochdalek hernias are one of the most common types of diaphragmatic hernia, with most cases diagnosed during the neonatal period. In contrast, diagnosis of a Bochdalek hernia in an adult is rare and is typically observed on the left side of the diaphragm. Even more rare is the diagnosis of a right-sided Bochdalek hernia in an adult, where there is concurrent visceral malformation in most cases.Case presentationWe describe a case of an 89-year-old female who presented with abdominal pain. An abdominal computed tomography (CT) scan showed decreased intravenous contrast uptake and thickening of the wall of herniated small intestine through the right side of the diaphragm, which led to the diagnosis of a strangulated diaphragmatic hernia. The patient underwent emergent laparotomy and required a partial resection of the necrotic ileum and a hernia repair with direct closure. Interestingly, in this case, organ malformation was not observed. The patient was discharged approximately 2 weeks after surgery without complication.ConclusionsAdult right-sided Bochdalek hernia with strangulation in the absence of hepatic atrophy is a rare entity. Considering the severity of this condition, accurate diagnosis and proper treatment are needed. A tailored operative approach is required on an individual case basis.

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A Case of Bochdalek Hernia Developed Immediately After Laparoscopic-Assisted Abdominoperineal Resection of Rectum in an Adult

Cited by 2 publications

References 9 publications

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

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

Right-sided Bochdalek hernia in an elderly adult: a case report with a review of surgical management

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