Cureus

. 2021 Sep 16;13(9):e18010. doi: 10.7759/cureus.18010. eCollection 2021 Sep. https://pubmed.ncbi.nlm.nih.gov/34667685/

Bochdalek Hernia in an Adult Causing Intraoperative Complication

Kalvin Zee ¹, Ashna Haque ¹, Conor Kelly ¹Affiliations expand

• PMID: 34667685
• PMCID: PMC8516356
• DOI: 10.7759/cureus.18010

Free PMC article

Abstract

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.

Copyright © 2021, Zee et al.