Right-Sided Bochdalek Hernia in Adult Associated With Cholestatic Syndrome: Case Report

Santos-Netto, José Moreira dos; Oliveira, Cybelle Pereira de; Sousa, Marcelo Gonçalves

doi:10.1590/s0102-6720201500030023

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…In two of these patients hydronephrosis resolved after surgical treatment [ 18 , 19 ], whereas two other cases did not report any follow-up [ 6 , 7 ]. In eight patients (18%) right-sided Bochdalek hernias were associated with thoracic complications: abscess formation [ 38 ], lung empyema [ 39 ], broncho-pleuro-colonic fistula [ 26 ], pleural effusion [ 24 , 40 ], fecothorax [ 16 ], and pneumonia [ 41 , 42 ]. One patient underwent a surgical approach to the chest and abdomen [ 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…In eight patients (18%) right-sided Bochdalek hernias were associated with thoracic complications: abscess formation [ 38 ], lung empyema [ 39 ], broncho-pleuro-colonic fistula [ 26 ], pleural effusion [ 24 , 40 ], fecothorax [ 16 ], and pneumonia [ 41 , 42 ]. One patient underwent a surgical approach to the chest and abdomen [ 42 ]. Laparotomy was performed in four cases [ 16 , 38 , 39 , 41 ], laparoscopy in one case [ 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Other hernia-related complications included bowel ischemia ( n = 2, 4%) [ 16 , 32 ] and bowel perforation ( n = 2, 4%) [ 20 , 43 ]. Postoperative complications included wound infection ( n = 1, 2%) [ 33 ] and sepsis ( n = 1, 2%) [ 42 ]. In ten cases (23%) colon and/or small bowel resection was performed due to mentioned bowel complications.…”

Section: Resultsmentioning

confidence: 99%

“…Four patients (9%) died after the surgical procedure due to pneumonia and sepsis [ 42 ], sequelae of bowel perforation [ 43 ], or cerebrovascular incidents [ 44 ]. One case did not report any specific reason for postoperative death [ 37 ].…”

Section: Resultsmentioning

confidence: 99%

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A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway

Ramspott

Jäger

Lechner

et al. 2021

Hernia

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Purpose Bochdalek hernia is a congenital diaphragmatic hernia. The incidence in adults is estimated around 0.17%. Right-sided hernias are much more seldom than left-sided ones because of faster closure of the right pleuroperitoneal canal and the protective effect of the liver. Due to its rarity, there have been no large prospective or retrospective studies following great need for evidence-based diagnostics and treatment strategies. In this systematic review, we evaluated the current evidence of diagnostics, treatment, and follow-up of adult right-sided Bochdalek hernias. Methods According to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines a systematic literature review was conducted in PubMed and Cochrane library from 2004 to January 2021. The literature search included all studies with non-traumatic right-sided Bochdalek hernias. Literature on left- or both-sided, pregnancy-associated, pediatric, and other types of hernias were explicitly excluded. Quality assessment of the included studies was performed. Results Database search identified 401 records. After eligibility screening 41 studies describing 44 cases of right-sided non-traumatic Bochdalek hernias in adulthood were included for final analysis. Based upon the systematic literature review, the current diagnostic, therapeutic, and follow-up management pathway for this rare surgical emergency is presented. Conclusion This systematic review underlined that most studies investigating management of adult non-traumatic right-sided Bochdalek hernias are of moderate to low methodological quality. Hernias tend to occur more frequently in middle-aged and older women presenting with abdominal pain and dyspnea. A rapid and accurate diagnosis following surgical repair and regular follow-up is mandatory. High-quality studies focusing on the management of this rare entity are urgently needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway

Ramspott

Jäger

Lechner

et al. 2021

Hernia

View full text Add to dashboard Cite

show abstract

“…Common issues included urinary complications like hydronephrosis from herniated organs, which were sometimes resolved post-surgery [ 39 ]. Thoracic complications such as abscesses and lung infections occasionally require complex interventions [ 40 , 41 ]. Gastrointestinal problems like bowel ischemia and perforation were less reported but required surgical management [ 42 ].…”

Section: Adult Bochdalek Herniamentioning

confidence: 99%