Cureus

. 2024 Mar 26;16(3):e56950.

 doi: 10.7759/cureus.56950. eCollection 2024 Mar. https://pubmed.ncbi.nlm.nih.gov/38533320/

Displacement of Abdominal Organs Into the Thoracic Cavity: A Rare Case of Adult Bochdalek Hernia

Sien Hu ¹, Xiaohui Yang ¹, Yulian Wu ²

Affiliations expand

• PMID: 38533320
• PMCID: PMC10965112
• DOI: 10.7759/cureus.56950

Abstract

Congenital diaphragmatic hernias are primarily found in infants and have a high mortality rate due to neonatal respiratory distress. The most common type of congenital diaphragmatic hernia is Bochdalek hernia, which occurs in the posterolateral diaphragm, with the left side being the most commonly affected. However, congenital diaphragmatic hernias are extremely rare in adults and are often misdiagnosed due to their subtle symptoms. Therefore, we suggest that a contrast-enhanced CT scan should be used for early screening and diagnosis in all patients with sudden severe pain or recurrent ambiguous symptoms in the chest and abdomen. This case report presents a rare occurrence of Bochdalek hernia in an adult male. The patient experienced nonspecific abdominal symptoms after eating. The hernia resulted in the displacement of the left kidney, the transverse colon of the splenic flexure, and most of the stomach into the thoracic cavity. This displacement led to atelectasis of the left lung, which reached three-fifths of its capacity. The patient underwent successful treatment using a combination of laparoscopy and open surgery. Follow-up CT scans conducted two weeks, three months, and one year later revealed a stable condition with no complications.

Keywords: bochdalek hernia; congenital diaphragmatic hernia; ct; intrathoracic kidney; patch repair.

Copyright © 2024, Hu et al.