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Hernia
Published in: Hernia 1/2004

01-02-2004 | Case Report

Congenital posterolateral diaphragmatic hernia in an adult

Authors: J. E. Losanoff, E. R. Sauter

Published in: Hernia | Issue 1/2004

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Abstract

A Bochdalek hernia (BH) occurs when abdominal contents herniate through the posterolateral segment of the diaphragm. Most BHs present with life-threatening cardiorespiratory distress in the neonatal period. Rarely, hernias that remain clinically silent until adulthood present as life-threatening surgical emergencies. Our recent experience with a life-threatening emergency due to a BH in a 29-year-old male patient prompted us to reinforce that this entity does exist in adults and should be considered in the differential of acute abdominal pain.
Literature
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Schumpelick V, Steinau G, Schlüper I, Prescher A (2000) Surgical embryology and anatomy of the diaphragm with surgical applications. Surg Clin North Am 80:213–239PubMed
2.
Mullins ME, Stein J, Saini SS, Mueller PR (2001) Prevalence of incidental Bochdalek's hernia in a large adult population. AJR Am J Roentgenol 177:363–366PubMed
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Skandalakis JE, Gray SW (1994) Embryology for surgeons, 2nd ed. Williams & Wilkins, Baltimore, pp 502–515
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Swain JM, Klaus A, Achem SR, Hinder RA (2001) Congenital diaphragmatic hernia in adults. Semin Laparosc Surg 8:246–255PubMed
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Zenda T, Kaizaki C, Mori Y, Miyamoto S, Horichi Y, Nakashima A (2000) Adult right-sided Bochdalek hernia facilitated by coexistent hepatic hypoplasia. Abdom Imaging 25:394–396CrossRefPubMed
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Mar Fan MJ, Coulson ML, Siu SK (1999) Adult incarcerated right-sided Bochdalek hernia. Aust N Z J Surg 69:239–241CrossRefPubMed
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Willemse P, Schutte PR, Plaisier PW (2003) Thoracoscopic repair of a Bochdalek hernia in an adult. Surg Endosc 17:162
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Settembre A, Cuccurullo D, Pisaniello D, Capasso P, Miranda L, Corcione F (2003) Laparoscopic repair of congenital diaphragmatic hernia with prosthesis: a case report. Hernia 7:52–54PubMed
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Steinau G, Dreuw B, Schleef J, Treutner KH, Schumpelick V (1997) Diaphragm replacement-an experimental animal study. Hernia 1:123–127
Metadata
Title
Congenital posterolateral diaphragmatic hernia in an adult
Authors
J. E. Losanoff
E. R. Sauter
Publication date
01-02-2004
Publisher
Springer-Verlag
Published in
Hernia / Issue 1/2004
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-003-0166-5

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