Surg J (N Y)

. 2021 Dec 23;7(4):e363-e365. doi: 10.1055/s-0041-1740628. eCollection 2021 Oct. https://pubmed.ncbi.nlm.nih.gov/34966850/

Bochdalek Hernia and Partial Diaphragmatic Agenesis: Pedicled Intercostal Muscle Flap and Mesh Repair in a Young Adult with Sickle Cell Disease

Klein Dantis ¹, Devendra Kumar Rathore ², Nilesh Gupta ³, Subrata Kumar Singha ⁴Affiliations expand

• PMID: 34966850
• PMCID: PMC8702300
• DOI: 10.1055/s-0041-1740628

Free PMC article

Abstract

Congenital Bochdalek hernia (BH) in an adult is rare and has an unusual presentation. They are confined to the pediatric age group with an incidence of 1:3,000 live births. It rarely persists asymptomatic until adulthood. Surgical repair by thoracic, abdominal, or thoraco-abdominal approach is the treatment of choice with diaphragmatic reconstruction in associated diaphragmatic agenesis. With only 10 cases of BH with partial diaphragmatic agenesis reported to date, we discuss the rarity, unusual presentation, and management of BH in a young adult with sickle cell disease that has not been reported in the literature.

Keywords: congenital diaphragmatic hernia; ectopic kidney; hemidiaphragm agenesis; intercostal muscle flap; sickle cell disease; vertebral fusion.

The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).