A Female with Right-Sided Thoracic Kidney with Bochdalek Hernia: A Case Report

Daha, Sunil Kumar; Karn, Anish; Shrestha, Nikhil; Shrestha, Neharika; Paudyal, Sanjaya; Giri, Niraj

doi:10.31729/jnma.4747

Cited by 3 publications

(2 citation statements)

References 4 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A composite mesh was used in three patients (16%) [ 27 , 33 , 34 ]. One case did not report the type of mesh [ 35 ]. The suture type was mostly non-absorbable ( n = 13, 65%) followed by absorbable sutures ( n = 4, 20%).…”

Section: Resultsmentioning

confidence: 99%

A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway

Ramspott

Jäger

Lechner

et al. 2021

Hernia

View full text Add to dashboard Cite

Purpose Bochdalek hernia is a congenital diaphragmatic hernia. The incidence in adults is estimated around 0.17%. Right-sided hernias are much more seldom than left-sided ones because of faster closure of the right pleuroperitoneal canal and the protective effect of the liver. Due to its rarity, there have been no large prospective or retrospective studies following great need for evidence-based diagnostics and treatment strategies. In this systematic review, we evaluated the current evidence of diagnostics, treatment, and follow-up of adult right-sided Bochdalek hernias. Methods According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines a systematic literature review was conducted in PubMed and Cochrane library from 2004 to January 2021. The literature search included all studies with non-traumatic right-sided Bochdalek hernias. Literature on left- or both-sided, pregnancy-associated, pediatric, and other types of hernias were explicitly excluded. Quality assessment of the included studies was performed. Results Database search identified 401 records. After eligibility screening 41 studies describing 44 cases of right-sided non-traumatic Bochdalek hernias in adulthood were included for final analysis. Based upon the systematic literature review, the current diagnostic, therapeutic, and follow-up management pathway for this rare surgical emergency is presented. Conclusion This systematic review underlined that most studies investigating management of adult non-traumatic right-sided Bochdalek hernias are of moderate to low methodological quality. Hernias tend to occur more frequently in middle-aged and older women presenting with abdominal pain and dyspnea. A rapid and accurate diagnosis following surgical repair and regular follow-up is mandatory. High-quality studies focusing on the management of this rare entity are urgently needed.

show abstract

Section: Resultsmentioning

confidence: 99%

A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway

Ramspott

Jäger

Lechner

et al. 2021

Hernia

View full text Add to dashboard Cite

show abstract

“…Ioannidis et al reported a female having blunt abdominal trauma resulting in a right-sided diaphragmatic injury and protrusion of the right lobe of the liver in the thoracic cavity along with a fracture of the right lower ribs [ 12 ]. Other unusual presentations may include other abdominal organs in the thorax, as seen in a case report of Daha et al in which a 24-year-old female with a right thoracic kidney with Bochdalek hernia was diagnosed incidentally [ 13 ]. Korkut et al reported a 28-year-old female who presented with bowel obstruction and subsequently was found to have bowel necrosis at the time of emergency surgery, where small bowel and transverse colon herniated into the right-sided diaphragmatic hernia after a right laparoscopic hepatectomy due to a hepatic alveolar cyst 20 months ago [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Intra-thoracic Symptomatic Gallstones in a Right-Sided Post-traumatic Diaphragmatic Hernia: A Case Report

Soomro¹,

Hassan²,

Nazir³

et al. 2022

Cureus

View full text Add to dashboard Cite

Herniation of abdominal contents through the diaphragm into the thoracic cavity can occur after blunt abdominal injury, resulting in a permanently acquired diaphragmatic hernia. Their clinical presentation is varied and non-specific, which can go unnoticed for a long duration.A 27-year-old male presented with right upper quadrant pain and right-sided pleuritic chest pain for the past 20 days. His past medical history included high-impact blunt trauma a few years back. His workup revealed a right-sided diaphragmatic hernia through which the gallbladder had herniated into the thoracic cavity, along with liver and hepatic flexure of the colon. The gallbladder contained gallstones which were the cause of his symptoms. The patient was managed successfully with a laparotomy and repair of the diaphragmatic hernia and cholecystectomy.After blunt abdominal trauma, right-sided diaphragmatic injury is less common because most of the trauma is absorbed by the liver, providing a protective effect. The sign and symptoms of acquired diaphragmatic hernia lack sensitivity and specificity, due to which many cases remain undiagnosed and are incidentally picked up on chest auscultation where bowel sounds are audible in the chest, and breath sounds on the affected side are absent, whereas patients have complaints of respiratory difficulty and recurrent pneumonia. Chest and abdominal imagining in the form of chest X-rays and abdominal ultrasound can help diagnose.The case we present was a unique presentation of acquired right-sided diaphragmatic hernia resulting in herniation of the gallbladder in the right-sided chest and leading to acute cholecystitis. The treatment modality is surgical repair of the diaphragm. Any patient presenting with unusual symptoms of pneumonia or abdominal pain should be investigated, especially patients with a history of blunt abdominal trauma.

show abstract

Atypical course of incarcerated post-traumatic diaphragmatic hernia

Kryzhanovskyi,

Dolzhkovyi,

Sheiko

et al. 2024

Wiad Lek

View full text Add to dashboard Cite

The article focuses on the instrumental imaging methods which greatly enhance the possibilities when arriving at correct and quick diagnosis of acute surgical pathology. Analysis of clinical and anamnestic data of the disease course and the results of instrumental research methods made it possible to arrive at clear clinical diagnosis, determine the indications for surgical treatment in this specific clinical case. The use of modern visualization methods while examining the patients prevents errors in diagnosis and helps to determine the optimal treatment tactics.

show abstract

A Female with Right-Sided Thoracic Kidney with Bochdalek Hernia: A Case Report

Cited by 3 publications

References 4 publications

A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway

A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway

Intra-thoracic Symptomatic Gallstones in a Right-Sided Post-traumatic Diaphragmatic Hernia: A Case Report

Atypical course of incarcerated post-traumatic diaphragmatic hernia

Contact Info

Product

Resources

About