Surg J (N Y)
. 2021 Jul 19;7(3):e124-e126. doi: 10.1055/s-0041-1731443. eCollection 2021 Jul. https://pubmed.ncbi.nlm.nih.gov/34295968/
Left-Sided Bochdalek’s Hernia in a Young Adult: A Case Report and Literature Review
Mark Portelli 1, Mark Bugeja 1, Charles Cini 1Affiliations expand
- PMID: 34295968
- PMCID: PMC8289684
- DOI: 10.1055/s-0041-1731443
Free PMC article
Abstract
Purpose Bochdalek’s hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek’s hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek’s hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect. Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh. Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.
Keywords: Bochdalek’s hernia; Gore-Tex mesh; congenital abnormalities; dysphagia; gastric volvulus.
The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).
