Late onset of right Bochdalek's hernia with strangulation of the omentum

Shimizu, Tetsuichiro; Hira, S; Hirooka, Shinji; Yonekura, Takeo; Tamai, Hiroshi

doi:10.1080/080352502317371760

Cited by 10 publications

(4 citation statements)

References 12 publications

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“…Congenital anomalies were observed in 11% of the patients studied in this review. These include situs inversus,[ 1 ] malrotation,[ 33 34 35 36 ] incomplete attachment of the cecum,[ 31 ] hepatic hypoplasia,[ 37 38 39 40 ] bifid liver,[ 41 ] pulmonary hypoplasia,[ 37 ] Chilaiditi's syndrome,[ 42 ] Marfan syndrome,[ 43 ] mitral/tricuspid valve prolapse,[ 44 ] patent ductus arteriosus,[ 45 ] pulmonary sequestration,[ 45 ] Down's syndrome,[ 46 ] accessory lung lobe,[ 47 ] congenital pulmonary blebs,[ 48 ] asplenia, deafness, accessory diaphragm,[ 49 ] aberrant systemic artery to right lobe, and anomalous pulmonary vein. [ 50 ] In neonates, the pulmonary hypoplasia and pulmonary hypertension that BH is invariably associated with, along with persistent fetal circulation leading to respiratory failure, causes management problems.…”

Section: Congenital Anomaliesmentioning

confidence: 99%

Laparoscopic repair of bochdalek diaphragmatic hernia in adults

Machado

2016

North Am J Med Sci

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Bochdalek hernia (BH) is an uncommon form of diaphragmatic hernia. The rarity of this hernia and its nonspecific presentation leads to delay in the diagnosis, with the potential risk of complications. This review summarizes the relevant aspects of its presentation and management, based on the present evidence in the literature. A literature search was performed on PubMed, Google Scholar, and EMBASE for articles in English on BH in adults. All case reports and series from the period after 1955 till January 2015 were included. A total of 180 articles comprising 368 cases were studied. The mean age of these patients was 51 years (range 15-90 years) with a male preponderance of 57% (211/368). Significantly, 6.5% of patients were above 70 years, with 3.5% of these being above 80 years. The majority of the hernias were on the left side (63%), with right-sided hernias and bilateral occurring in 27% and 10%, respectively. Precipitating factors were noted in 24%, with 5.3% of them being pregnant. Congenital anomalies were seen in 11%. The presenting symptoms included abdominal (62%), respiratory (40%), obstructive (vomiting/abdominal distension; 36%), strangulation (26%); 14% of them were asymptomatic (detected incidentally). In the 184 patients who underwent surgical intervention, the surgical approach involved laparotomy in 74 (40.27%), thoracotomy in 50 (27.7%), combined thoracoabdominal approach in 27 (14.6%), laparoscopy in 23 (12.5%), and thoracoscopic repair in 9 (4.89%). An overall recurrence rate of 1.6% was noted. Among these patients who underwent laparoscopic repair, 82% underwent elective procedure; 66% underwent primary repair, with 61% requiring interposition of mesh or reenforcement with or without primary repair. The overall mortality was 2.7%. Therefore, BH should form one of the differential diagnoses in patients who present with simultaneous abdominal and chest symptoms. Minimal access surgery offers a good alternative with short hospital stay and is associated with minimum morbidity and mortality.

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Section: Congenital Anomaliesmentioning

confidence: 99%

Laparoscopic repair of bochdalek diaphragmatic hernia in adults

Machado

2016

North Am J Med Sci

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“…Right sided symptomatic Bochdalek hernia is rare in adults. Effect of liver protection by liver and spleen on either side and also a thin hernial sac containing both pleura and peritoneum were proposed as reasons for the late onset of presentation [13]. Often Bochdalek hernia is initially misdiagnosed as pneumonia, pleural effusion or tension pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

“…Less common manifestations include breathlessness or chest infections, neoplastic disease, pulmonary sequestration, foreign material aspiration, tension pneumothorax, pneumonia, pleuritis or pulmonary tuberculosis. Late onset of Bochdalek's hernia presenting primarily with respiratory symptoms or strangulation of gangrenous omentum, have been reported [4][5][6][7][8][9][10][11][12][13]. The small fat-containing hernias have no clinical implication, while the large ones containing abdominal viscera are associated with increased morbidity and mortality.…”

Section: Discussionmentioning

confidence: 99%

Bochdalek hernia in an adult patient in the disguise of hydropneumothorax - A diagnostic interrogation

Kanugula¹,

Rr²

2021

J Med sci Res.

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Congenital diaphragmatic hernias are most common postero laterally which are called as Bochdalek hernias. They are very rare to occur in adults. Here we present a case of 50-year-old male who presented with acute respiratory distress with suspected diagnosis of hydropneumothorax which was later confirmed as left sided Bochdalek hernia. The defect was surgically repaired using a PTF mesh, after returning the contents of hernia into abdomen. This communication emphasizes the need to detect diaphragmatic hernia disguised as hydropneumothorax to avoid fatal complications.

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“…CDH affecting the central tendon is extremely rare 11‐13. Even if an association between Down syndrome and posterolateral hernia14 or retrosternal hernia15 is described, up to now, no cases of a congenital central diaphragmatic defect in trisomy 21 patients have been reported. Thus, in a Down syndrome patient with intrathoracic liver migration, CDH should be considered.…”

Section: Discussionmentioning

confidence: 99%