Research: Bochdalek Hernia in an Adult Causing Intraoperative Complication


. 2021 Sep 16;13(9):e18010. doi: 10.7759/cureus.18010. eCollection 2021 Sep.

Bochdalek Hernia in an Adult Causing Intraoperative Complication

Kalvin Zee 1Ashna Haque 1Conor Kelly 1Affiliations expand

Free PMC article


Bochdalek hernias are rarely diagnosed in adults and account for 0.17-6% of all diaphragmatic hernias. It is a congenital diaphragmatic hernia caused by a defect in the posterior attachment of the diaphragm due to a failure of the pleuroperitoneal membrane closure in utero. This may rarely cause chest pain, respiratory symptoms, or gastrointestinal symptoms. In this study, we present a case of a laparoscopic paraesophageal repair via Nissen fundoplication. The incidental finding and subsequent repair of a Bochdalek hernia during this case may have resulted in complications of the surgery including pneumothorax due to the defect in the pleuroperitoneal membrane.

Keywords: bochdalek hernia; nissen fundoplication; paraesophaegal hernia; pleuroperitoneal membrane; pneumothorax.

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