Acute intestinal obstruction: A rare presentation of left sided adult congenital diaphragmatic hernia

Sk, Chatterjee; Mitra, Arnab; Sarkar, Suman; Prasad, Sandeep

doi:10.1007/s13126-015-0251-0

Cited by 11 publications

(14 citation statements)

References 11 publications

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“…Bochdalek hernias occur in the diaphragm due to a congenital defects, most commonly through the posterolateral foremen on the left side, and involve the spleen, stomach, small intestine and colon [ 5 ]. When they involve the right side, the liver, gallbladder and intestine usually herniate through.…”

Section: Discussionmentioning

confidence: 99%

Repair of a giant diaphragmatic hernia using the dual approach

Sabah

Haddad

Vaz

2019

Journal of Surgical Case Reports

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Bochdalek hernias are diaphragmatic defects seen in pediatrics. About 5–25% of the cases are diagnosed in adulthood, and present with symptoms of chest and abdominal problems. This is a case of an 18-year-old male who presented to the emergency department with epigastric pain, vomiting and dyspnea. Most of the left-sided organs had herniated to the left chest cavity. Immediate surgery was performed. The stomach, spleen and colon were reduced into the abdominal cavity. The diaphragm defect was repaired laparoscopically, but there were limitations due to inadequate space, leading to difficult visualization of the posterior diaphragmatic leaflet. A thoracoscopic approach was taken where we saw the left kidney herniated through the repair site posteriorly. It was reduced and the defect was closed. The early diagnosis of Bochdalek hernias is important to prevent stomach/intestinal strangulation. Laparoscopic surgeons need to be prepared for a thoracic approach in giant congenital diaphragmatic hernias.

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Section: Discussionmentioning

confidence: 99%

Repair of a giant diaphragmatic hernia using the dual approach

Sabah

Haddad

Vaz

2019

Journal of Surgical Case Reports

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“…4 Majority of CDH patients present at new born, Late presentation may be due to delayed rupture of peritoneal sac containing the viscera, or plugging of hernia defect by solid organ due to raised abdominal pressure in severe strain, obesity, pregnancy and during labour. 4 In adults it is mostly asymptomatic and incidental finding in imaging tests performed for other reasons. Patients may present with chronic symptoms such as recurrent chest or abdominal pain and postprandial fullness or vomiting.…”

Section: Discussionmentioning

confidence: 99%

Obstructed Bochdalek hernia: a rare presentation of congenital diaphragmatic hernia in adulthood

et al. 2019

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Congenital diaphragmatic hernia (CDH) is usually diagnosed antenatally or during the initial few hours of life in newborns who present with respiratory distress. CDH presenting with intestinal obstruction in adulthood is very rare. We report a case of 28 year old male, who presented to emergency department, with acute onset of abdominal pain and breathlessness since 2 days. Patient was investigated and diagnosed to have Bochdalek hernia (BH), with herniation of intra-abdominal contents to thorax through the defect (3.5×4.5 cms) in postero-lateral aspect of left hemi-diaphragm with obstructive features of bowel. Patient underwent emergency exploratory laparotomy with reduction of contents and hernia repair. Patient recovered and remains well. High suspicion of BH should be done when patient presents with abdominal and respiratory symptoms even though it is very rare in adults.

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“…Diaphragmatic hernia through the posterolateral foremen of Bochdalek is the commonest type of CDH and more common on the left side (85%) than on the right. Left sided hernia include spleen, stomach, small intestine and colon [5] . Right sided hernia includes liver and intestine.…”

Section: Discussionmentioning

confidence: 99%

“…The colon as hernia content is relatively rare compared to other contents. Late presentation may be due to delayed rupture of peritoneal sac containing the viscera, or plugging of hernia defect by solid organ due to raised abdominal pressure in severe strain, obesity, pregnancy and during labour [5] .…”

Section: Discussionmentioning

confidence: 99%

Bochdalek hernia: A rare case report of adult age

Yağmur

Yiğit

Babur

et al. 2016

Annals of Medicine &Amp; Surgery

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IntroductionBochdalek hernia is the most common type of congenital diaphragmatic hernia and constitutes 85% of cases. Bochdalek hernia (BH) in adults is extremely rare. We present a BH case in an adult patient and discuss the literature.Presentation22-year-old female patient with abdominal pain, occasional cramps, dysphagic problems, constipation, shortness of breath and choking for about 2 years applied to our clinic.DiagnosisA defect about 5 cm in the left hemidiaphragm posterior area and herniation of intra-abdominal fat plan in the left hemithorax was seen in intravenous and oral whole abdominal CT.TreatmentPatient was operated laparoscopically. Transverse colon and a large portion of the omentum entering into hemidiaphragm were pulled in to intraperitoneal area carefully. Approximately 10 × 8 cm intraabdominal mesh was fixed to the defect area with the help of laparoscopic tacker.ConclusionAdult BH is very rare and when confronted laparoscopic treatment with mesh fixation can be performed safely.

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Acute intestinal obstruction: A rare presentation of left sided adult congenital diaphragmatic hernia

Cited by 11 publications

References 11 publications

Repair of a giant diaphragmatic hernia using the dual approach

Repair of a giant diaphragmatic hernia using the dual approach

Obstructed Bochdalek hernia: a rare presentation of congenital diaphragmatic hernia in adulthood

Bochdalek hernia: A rare case report of adult age

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