Bochdalek Hernia in a Symptomatic Adult

Herling, Anique; Makhdom, Fahd; AlShehri, Abdullah J.; Mulder, David S.

doi:10.1016/j.athoracsur.2013.09.074

Cited by 23 publications

(21 citation statements)

References 7 publications

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“…BHs in adulthood are usually asymptomatic (86%) or present with non‐specific characteristics and diagnosed incidentally . Our patient, contrary to the norm, was symptomatic with abdominal pain mimicking diverticulitis before his GP investigated further with a CT scan that diagnosed a large bowel obstruction secondary to a BH.…”

mentioning

confidence: 60%

Rare presentation of a Bochdalek hernia in adulthood with incarcerated splenic flexure of the colon mimicking diverticulitis: a report and review

Tan

Chan

Chu

et al. 2018

ANZ Journal of Surgery

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mentioning

confidence: 60%

Rare presentation of a Bochdalek hernia in adulthood with incarcerated splenic flexure of the colon mimicking diverticulitis: a report and review

Tan

Chan

Chu

et al. 2018

ANZ Journal of Surgery

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“…Patients may present with chronic symptoms such as recurrent chest or abdominal pain and postprandial fullness or vomiting. 5 Brown et al searched the literature yielded 141 articles containing 173 cases from 31 countries. Only 14% of patients were symptomatic at the time of presentation.…”

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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“…Most hernias are asymptomatic And found incidentally. Patients may present with chronic symptoms such as recurrent chest or abdominal pain and postprandial fullness or vomiting [6] . Brown SR et al.…”

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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Bochdalek Hernia in a Symptomatic Adult

Cited by 23 publications

References 7 publications

Rare presentation of a Bochdalek hernia in adulthood with incarcerated splenic flexure of the colon mimicking diverticulitis: a report and review

Rare presentation of a Bochdalek hernia in adulthood with incarcerated splenic flexure of the colon mimicking diverticulitis: a report and review

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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