Asian J Endosc Surg

. 2022 Nov 6.

 doi: 10.1111/ases.13139. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/36336788/

Rare case of a right Bochdalek hernia with retroperitoneal prolapse of organs into the thoracic cavity in infancy: A case report

Yoichi Nakagawa ¹, Hiroo Uchida ¹, Akinari Hinoki ², Chiyoe Shirota ¹, Wataru Sumida ¹, Satoshi Makita ¹, Hizuru Amano ¹, Okamoto Masamune ¹, Aitaro Takimoto ¹, Seiya Ogata ¹, Shunya Takada ¹, Daiki Kato ¹, Yousuke Gohda ¹, Yaohui Guo ¹

Affiliations expand

• PMID: 36336788
• DOI: 10.1111/ases.13139

Abstract

We report an extremely rare case of a right Bochdalek hernia with a sac, in which the retroperitoneal and intra-abdominal organs prolapsed into the thoracic cavity at the same time. The patient was a 7-month-old female with no comorbidities. She presented with cough and fever, and chest radiography revealed a right diaphragmatic hernia. Computed tomography showed that the right kidney, intestine, colon, and liver had prolapsed into the thoracic cavity. The patient underwent thoracoscopic surgery, which showed that the abdominal and retroperitoneal organs prolapsed into the thoracic cavity through the Bochdalek hernia. The herniated organs were spontaneously reduced using thoracoscopic insufflation. The defect hole was closed with artificial mesh. We adopted a thoracoscopic approach, in terms of easy reduction of herniated organs and accurate evaluation of the hernia orifice, which was useful.

Keywords: Bochdalek hernia; congenital diaphragmatic hernia; retroperitoneal hernia.

© 2022 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.