Gastric volvulus with a large bochdalek hernia in an adult successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair: A case study

Abstract

We report a case of gastric volvulus with a large Bochdalek hernia successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair. The patient was a 71-year-old woman with no history of trauma. She was referred to our hospital because of nausea and vomiting after eating. Thoracic and abdominal CT showed gastric volvulus and a large Bochdalek hernia. The patient underwent emergency endoscopic reduction and elective laparoscopic surgery. The defect (10 × 12 cm) was reinforced with a Dual Mesh (expanded polytetrafluoroethylene) and fixed to the diaphragm with nonabsorbable sutures. The postoperative course was uneventful, and no complications or recurrence was found at the 2-year follow-up. The endoscopic reduction and elective laparoscopic procedure was performed successfully and resulted in significant clinical improvement in this case.

Laparoscopic surgery for a Bochdalek hernia triggered by pregnancy in an adult woman: A case report

“…A recently published study reviewing detailed cases of laparoscopic and/or thoracoscopic repair of adult BHs from 1999 to 2016 identified 30 cases ( Table 1 ); 10 men and 20 women with a mean age 48.6 years [1] , [3] , [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] , [15] , [16] . Of these 30 hernias, 23 occurred on the left side and 7 on the right.…”

Laparoscopic repair of a Bochdalek hernia in an elderly patient: a case report with a review from 1999 to 2019 in Japan

“…The 94 remaining case studies, published between 1999 and 2019, matched our inclusion criteria for this analysis. We accessed and analyzed 96 case reports of adult BH including the present case (Table 1) [10][11][12][13][14][15].…”

“…Surgical reduction of the prolapsed organs and the closure of the hernia orifice is required. Although recently published studies have described the efficacy of thoracoscopic and/or laparoscopic repair for BH in adults, there are currently no established optimal approaches or methods [2,4,[10][11][12][13][14][15]. Herein, we describe our experience of adult BH in detail and review in light of surgical options from the available literature on Japanese cases.…”

Gastric volvulus and giant Bochdalek hernia in an adult patient that were safely repaired by endoscopic reduction and elective laparoscopic surgery

“…Management of a BH includes reducing the abdominal contents and repairing the defect through laparotomy or thoracotomy 1,4 . Both laparoscopic and thoracoscopic repairs of BH have been reported, 1,4 but there are few reports on elective laparoscopic surgery after reduction of the gastric volvulus 4 . The procedure of choice depends on the surgeon's experience 4 .…”