J Surg Case Rep

. 2021 Aug 28;2021(8):rjab357. doi: 10.1093/jscr/rjab357. eCollection 2021 Aug. https://pubmed.ncbi.nlm.nih.gov/34466216/

Right-sided Bochdalek hernia in an adult: a case report

Asish Pun ¹, Pratibha Dhoubhadel ¹, Kamal Dawadi ²Affiliations expand

• PMID: 34466216
• PMCID: PMC8403501
• DOI: 10.1093/jscr/rjab357

Free PMC article

Abstract

Bochdalek hernia (BH) is the most common type of congenital diaphragmatic hernia and is usually left-sided. It typically presents in neonates and diagnosis in adults is a rarity. To date only 34 reported cases of right-sided BH have been surgically managed in adults in literature. We review a 21-year-old female with a right-sided BH diagnosed as acute calculus cholecystitis and underwent laparoscopic cholecystectomy. The diagnosis of BH was made incidentally during surgery. The hernia did not have a sac with no hernial contents. It was treated via laparoscopic intracorporeal suturing and patient postoperative period was uneventful. Right-sided BH is rare. Regardless of the symptoms surgical treatment should be done to avoid risk of visceral strangulation.

Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021.