Massive Symptomatic Right-sided Bochdalek Hernia in an Adult Man

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2016 Nov 18

PMID 27852660

Citations 5

Authors

Naman Kohli

Goran Mitreski

Cheng-Hon Yap

Matthew Leong

Affiliations

Soon will be listed here.

Abstract

A 22-year-old man presented to a rural hospital in Australia with right-sided pleuritic chest pain, right shoulder pain and dyspnoea. The patient had been receiving chronic asthma therapy without improvement. CT of the chest was performed after an abnormal X-ray, incidentally revealing one of the largest documented right-sided diaphragmatic hernias, with left lung compression due to mediastinal shift. The patient was definitively managed with thoracotomy alone. The contents of the hernia sac included colon and multiple loops of small bowel with a 10 cm neck. Definitive treatment was achieved with significant reduction in hernia size and formation of a neo-diaphragm with composite mesh. The postoperative period was complicated only by a wound infection. Two weeks after discharge the patient remained clinically well. Repeat chest X-ray showed no recurrence of the hernia. Congenital diaphragmatic hernias should be considered in patients with ongoing respiratory symptoms. Thoracotomy provides a safe approach.

Citing Articles

Congenital Right Diaphragmatic Hernia Presenting in Adult Life: A Rare Case.

Hemanth Rathod R, Rajan Y, Potluri V Cureus. 2022; 14(11):e31168.

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A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway.

Ramspott J, Jager T, Lechner M, Schredl P, Gabersek A, Mayer F Hernia. 2021; 26(1):47-59.

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Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications.

Akita M, Yamasaki N, Miyake T, Mimura K, Maeda E, Nishimura T Surg Case Rep. 2020; 6(1):72.

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Diaphragmatic hernia with isolated shoulder pain evoked by surfeit.

Lee J, Nam S, Kim S, Hong J, Kim D Ann Transl Med. 2019; 7(1):11.

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