Bochdalek hernia in the adult: demographics, presentation, and surgical management

Abstract

Using modern surgical techniques to include laparoscopy, repair can be performed safely, with a short hospital stay, and with minimal morbidity or mortality.

Robot-assisted thoracoscopic repair of a late-onset Bochdalek hernia: a case report

“…The concept in favor of such an approach is that a significant number of these patients present acutely with serious complications such as strangulation of the gut leading to severe morbidity and mortality. 2,3 This is why we proposed a surgical correction to our patient. In fact, besides having suffered from recurrent respiratory tract infections during childhood, he was diagnosed because of his dorsal pain.…”

“…Only few reports describe adult patients diagnosed with BH. Brown et al 2 and Machado 3 have extensively reviewed all these reports with the purpose of providing clinicians with an outline for the presentation, work-up and surgical management for adult patients with BH. The incidence is reported to be 0,17% with the majority of hernias occurring on the left side and in male patients.…”

“…While most of these hernias are symptomatic and present with pain or complications such as strangulation, there are others that are detected incidentally, during investigations for other causes. 2 Misdiagnosis or delay in diagnosis are frequent events, unfortunately leading to serious consequences 7 such as strangulation and death. From analyzed literature it is suggested that left-sided defects may be more likely to produce symptoms than right-sided defects, perhaps due to the liver avoiding the herniation of abdominal contents.…”

Tension Gastrothorax with Gastric Perforation Secondary to Bochdalek Hernia in an Adult, Case Report

“…al. demonstrated that 68% are right sided, but there are under diagnosed because the close of the defect by the liver make them asymptomatic 11 .…”

Imaging the posterior mediastinum: a multimodality approach

“…Multiplanar CT and MRI images are useful for showing the diaphragmatic defect (Fig. 15) and the contents of the hernia sac (67,71). This defect is the key finding for differentiating a Bochdalek hernia from diaphragmatic eventration or a diaphragmatic lipoma or liposarcoma (68).…”