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

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

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

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.

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