Ann Med Surg (Lond)

. 2021 Oct 14;71:102936. doi: 10.1016/j.amsu.2021.102936. eCollection 2021 Nov. https://pubmed.ncbi.nlm.nih.gov/34729180/

An atypical presentation of a strangulated bochdalek hernia in a 60-year-old woman

Kusay Ayoub ¹, Sarya Swed ², Hidar Alibrahim ², Mahmoud Alhamadeh Alswij ³, Shorouk Alabdo ⁴, Nihad Mhali ¹Affiliations expand

• PMID: 34729180
• PMCID: PMC8545657
• DOI: 10.1016/j.amsu.2021.102936

Free PMC article

Abstract

Bochdalek hernia (BH), resulting from the failure of posterolateral diaphragmatic foramina to fuse, is the most common congenital diaphragmatic hernia and usually manifests in pediatric age with life-threatening complications. Here, we report the case of a 60-year-old female with a left-sided Bochdalek diaphragmatic hernia, who presented with abdominal pain and dyspnea. The patient was successfully treated by open surgery approach but the patient died due to the lung doesnt expand after atelectasis in the third day after surgery. We know that a few cases of bochdalek hernia have been reported in the elderly by the medical literature, but what distinguishes our case is that the hernia was strangulated and the patient died as a result of non-expansion of the lung after its atelectasis following surgical repair.

Keywords: Bochdalek hernia; Case report; Open surgery; Strangulation.

© 2021 The Authors.