Symptomatic Bochdalek Hernia in Adult: a Case Report

Souza, Luis Eduardo Almeida de; Anjos, Karlla Lorena dos Santos; Sousa, Danielle Oliveira de; Loureiro, Gabriel de Jesus da Fonseca; Centeno, Deborah Marques; Lima, Yana Cardoso de; Cordeiro, Rodrigo da Silva; Lisboa, Felipe Teixeira; Machado, João Paulo da Silva; Matos, Karen Giovana Leal; Vieira, Mauro Carvalho

doi:10.3823/2550

Cited by 2 publications

(2 citation statements)

References 7 publications

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“…The incidence is approximately 1 in every 2,200-12,500 live births. Bochdalek hernia is rare in adults and represents 0.17%-6% of all diaphragmatic hernias [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…When the symptoms appear, they are usually progressively predominating those of non-specific digestive type such as nausea, early postprandial fullness, bleeding from the digestive tract, epigastric pain, melena and others such as respiratory difficulty after food intake and weight loss [6]. The patient may report significant chest pain due to an early complication, such as respiratory compromise due to atelectasis or pneumonia, or late complications such as volvulus, with possible rupture of an abdominal viscus within the thorax [4].…”

Section: Introductionmentioning

confidence: 99%

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Hernia de Bochdalek: A Challenging Diagnosis

Jose¹,

Aarely²,

Ivana³

et al. 2018

Med Clin Rev

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Diaphragmatic hernias are defined as a transposition of abdominal organs into the thoracic cavity through a defect in the phrenic muscle. They can be classified as congenital, acquired, or post traumatic. The Bochdalek hernia is congenital, it is produced by an alteration in the embryological development of the diaphragm, causing a zone of anatomical weakness that allows the protrusion of intraabdominal organs into the thoracic cavity. The prevalence of the Bochdalek hernia is 1 in 2,200 births and is located on the left side 80%-90% of the time, only 5%-10% remain undetectable during childhood. Less than 100 cases have been reported in adults. In Honduras there have been few cases reported in pediatrics, and none in adults. We present the case of a 38-year-old patient that seeks at the Hospital Escuela Universitario in Tegucigalpa, Honduras, due to abdominal pain located in the left iliac fosse that irradiates to the right flank and hypochondrium over the past two months, accompanied by dyspnea and paroxistic episodes of cough. At thoracic auscultation wheezing was found with predominance in the left lung, with hypoventilation and the presence of intestinal sounds. A thoracoabdominal tomography with contrast was performed, finding the presence of a diaphragmatic hernia occupying the whole left hemithorax, including the spleen, colon and stomach. The data is corroborated by a diagnostic laparoscopy, but because the organs could not be reduced to the abdominal cavity a laparotomy was performed. The findings correspond to the organs that are commonly herniated in the left Bochdalek hernia. After the laparotomy the patient had a satisfying progress, with subsequent hospital discharge. It is important to have a timely diagnosis and adequate treatment for this type of hernia to prevent complications that could compromise the life of the patient.

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“…The incidence is approximately 1 in every 2,200-12,500 live births. Bochdalek hernia is rare in adults and represents 0.17%-6% of all diaphragmatic hernias [3,4].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hernia de Bochdalek: A Challenging Diagnosis

Jose¹,

Aarely²,

Ivana³

et al. 2018

Med Clin Rev

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Bochdalek hernia in an adult patient: Case report

Meta-Jevtović¹,

Đokić²,

Suša³

et al. 2020

Medicinski časopis

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Aim of this paper is to present a rare case of Bochdalek hernia in adult age and to underline the importance of clinical suspicion and imaging technique in making the exact diagnosis of this abnormality. Bochdalek hernia is a congenital defect localized on the posterolateral wall of the diaphragm through which the organs of the abdominal cavity pass into the chest. It is primarily diagnosed in neonatal and postnatal periods, while it is very rare in adults. The authors present a case of Bochdalek hernia in adulthood with symptoms arising from the gastrointestinal and respiratory tract. The diagnosis was confirmed by performing the computerized tomography of the chest. A rare case of left-side Bochdalek hernia was presented, which was discovered in adult age and treated surgically with success.

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Symptomatic Bochdalek Hernia in Adult: a Case Report

Cited by 2 publications

References 7 publications

Hernia de Bochdalek: A Challenging Diagnosis

Hernia de Bochdalek: A Challenging Diagnosis

Bochdalek hernia in an adult patient: Case report

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