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

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

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

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.

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