Cureus

. 2022 Nov 6;14(11):e31168.

 doi: 10.7759/cureus.31168. eCollection 2022 Nov. https://pubmed.ncbi.nlm.nih.gov/36483901/

Congenital Right Diaphragmatic Hernia Presenting in Adult Life: A Rare Case

Ramavath Hemanth Rathod ¹, Yadavalli Rd Rajan ¹, Vijaykiran Potluri ¹

Affiliations expand

• PMID: 36483901
• PMCID: PMC9725177
• DOI: 10.7759/cureus.31168

Free PMC article

Abstract

A severe deformity that can occasionally be detected in infants and younger children is a congenital diaphragmatic hernia (CDH). Congenital diaphragmatic hernia is characterized by the existence of a diaphragmatic defect, most frequently to the left and posterolateral, known as Bochdalek hernia, that allows abdominal contents to herniate into the thorax. The diagnosis of this rare congenital diaphragmatic hernia is made in early childhood. When the right-sided congenital diaphragmatic hernia, which is uncommon, is asymptomatic in adulthood, the diagnosis can be challenging. We present a rare case of this condition presenting in adult life which was identified as an incidental finding when the patient was receiving treatment for dextrocardia with right bundle branch block during his teenage. To avoid entrapment and strangulation of abdominal viscera, surgical repair is advised for all adult CDH patients. Currently, numerous studies have shown that open or minimally invasive repair procedures, with or without mesh reinforcement, can be used safely and effectively. Surgical repair has been linked to minimizing morbidity and mortality, excellent long-term results, and a low rate of recurrence regardless of the method used. Reinforcement by using suture repair with mesh was preferred in this case. This case report highlights the uncommon adult right-sided Bochdalek hernia presentation and the requirement for intense clinical attention in cases that are comparable to it.

Keywords: adult congenital diaphragmatic hernia; congential diaphragmatic hernia; liver herniation; mesh repair; shortness of breath (sob).

Copyright © 2022, Hemanth Rathod et al.