Ann Thorac Surg

. 2021 Sep 25;S0003-4975(21)01659-3. doi: 10.1016/j.athoracsur.2021.08.046. Online ahead of print https://pubmed.ncbi.nlm.nih.gov/34582760/

Bochdalek Hernia with Gastric Necrosis Requiring Roux-en-Y Esophagojejunostomy

Travis M Sullivan ¹, Brianna C Ruch ², Vignesh Vudatha ², Walker A Julliard ³, Rachit D Shah ³Affiliations expand

• PMID: 34582760
• DOI: 10.1016/j.athoracsur.2021.08.046

Abstract

Bochdalek hernias are the most common congenital diaphragmatic hernias and are usually diagnosed during childhood¹. They can present in adulthood and, in uncommon circumstances, result in gastric herniation with strangulation. We present a case of an adult Bochdalek hernia resulting in total gastric necrosis necessitating Roux-en-Y esophagojejunostomy in an otherwise healthy 39-year-old male. This case highlights the potential morbidity associated with unrepaired congenital diaphragmatic hernias and the need for appropriate referral.

Copyright © 2021. Published by Elsevier Inc.