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

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

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

Affiliations expand

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.

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