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Hernia
Published in: Hernia 4/2007

01-08-2007 | Case Report

Right-sided Bochdalek hernia obstructing in an adult: case report and review of the literature

Authors: S. Rout, F. J. Foo, J. D. Hayden, A. Guthrie, Andrew M. Smith

Published in: Hernia | Issue 4/2007

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Abstract

Bochdalek hernias on the right side of the diaphragm are very rarely diagnosed in adults. We review a case of a 35-year-old female who presented acutely with intestinal obstruction. Plain and cross-sectional imaging identified a large right-sided Bochdalek hernia, containing colon, causing a mechanical obstruction and, surprisingly, concurrent appendicitis. The patient underwent an emergency laparotomy. At surgery the colon was reduced and was viable. The diaphragmatic defect was repaired using non-absorbable sutures and an appendicectomy was then performed for purulent appendicitis. She made an uneventful recovery and remains well at 9-month follow-up. We discuss what we believe to be the first reported case of an obstructed right-sided Bochdalek’s hernia associated with appendicitis in an adult and review the published literature on this rare condition.
Literature
1.
Bujanda L, Larrucea I, Ramos F (2001) Bochdalek’s hernia in adults. J Clin Gastroenterol l32:155–157CrossRef
2.
Haller SA (1986) Professor Bochdalek and his hernia: then and now. Prog Pediatr Surg 20:252–255PubMed
3.
Sener RN, Tugran C, Yorulmaz I, Dagdeviren A, Orguc S (1995) Bilateral large Bochdalek hernias in an adult: CT demonstration. Clin Imaging 19:40–42PubMedCrossRef
4.
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 25:394–396PubMedCrossRef
5.
Wilbur AC, Gorodetsky A, Hibblen JF (1994) Imaging findings of adult Bochdalek hernias. Clin Imaging 18:224–229PubMedCrossRef
6.
Sugg WL, Roper CL, Carlsson E (1964) Incarcerated Bochdalek hernias in the adult. Ann Surg 160:847–851PubMedCrossRef
7.
Fingerhut A, Baillet P, Oberlin PH, Ronat R (1984) More on congenital diaphragmatic hernia in the adult [letter]. Int Surg 69:182–183PubMed
8.
Mar Fan MJ, Coulson ML, Siu SK (1999) Adult incarcerated right-sided Bochdalek hernia. Aust NZ J Surg 69(3):239–241CrossRef
9.
Wadhwa A, Surendra JBK, Sharma A, Khullar R, Soni V, Baijal M, Chowbey PK (2005) Laparoscopic repair of diaphragmatic hernias: experience of six cases. Asian J Surg 28(2):145–150PubMedCrossRef
10.
Yamaguchi M, Kuwano H, Hashizume M, Sugio K, Sugimachi K, Hyoudou Y (2002) Thoracoscopic treatment of Bochdalek hernia in the adult: report of a case. Ann Thorac Cardiovasc Surg 8(2):106–108PubMed
11.
Ketonen P, Mattila SP, Harjola PT, Jarvinen A, Mattila T (1975) Congenital posterolateral diaphragmatic hernia in the adult. Acta Chir Scand 141(7):628–632PubMed
12.
de Oliveira F, Oliveira FJ (1984) Congenital posterolateral diaphragmatic hernia in the adult. Can J Surg 24:610–611
13.
Sinha M, Gibbons P, Kennedy SC, Matthews HR (1989) Colopleural fistula due to strangulated Bochdalek hernia in an adult. Thorax 44(9):762–763PubMedCrossRef
14.
Molina Trigueros L, Muguerza Huguet JM, Picardo Nieto A, Yebenes ML, Diez Valladares L, Arguello de Andres JM, Garcia Mendiz J, Balibrea Cantero JL (1990) [Bochdalek hernia in adults. Apropos of a case in the right side]. Rev Esp Enferm Dig 77(4):287–289PubMed
15.
Fabrin K, Anderson PV (1994) Incarceration of the stomach through a Bochdalek hernia on the right side, causing symptoms of tension pneumothorax. Ugeskr Laeger 156:5870–5871PubMed
16.
Petrovskii BV, Moiseev VS, Platov II (2000) Surgery of some diaphragm disease. Kuirurgiia 7:23–27
17.
Sakorafas GH, Delibasis G (2001) Large right congenital diaphragmatic (Bochdalek) hernia: an incidental finding in an aged patient with acute intestinal obstruction. Dig Surg 18(6):431PubMedCrossRef
18.
Giuliani D, Hoenjet K, Vaneerdeweg W, Tjalma W, Hubens G, Chapelle T, Eyskens E, De Backer A (2001) Congenital right-sided diaphragmatic hernia in an elderly patient. A case report. Acta Chir Belg 101(3):141–144PubMed
19.
Fisichella PM, Perretta S, Di Stefano A, Di Carlo I, La Greca G, Russello D, Lattero F (2001) Chronic liver herniation through a right Bochdalek hernia with acute onset in adulthood. Ann Ital Chir 72(6):703–705PubMed
20.
Kanazawa A, Yoshioka Y, Inoi O, Murase J, Kinoshita H (2002) Acute respiratory failure caused by an incarcerated right-sided adult bochdalek hernia: report of a case. Surg Today 32(9):812–815PubMedCrossRef
21.
Court FG, Wemyss-Holden SA, Maddern GJ (2003) Postoperative colonic perforation in a right-sided congenital diaphragmatic hernia in an adult. Int Surg 88(1):9–11PubMed
22.
van Deurzen DF, Mannaerts GH, Rietveld AP, Wittens CH (2004) Intestinal incarceration due to a Bochdalek’s hernia. Ned Tijdschr Geneeskd 148(15):740–743PubMed
Metadata
Title
Right-sided Bochdalek hernia obstructing in an adult: case report and review of the literature
Authors
S. Rout
F. J. Foo
J. D. Hayden
A. Guthrie
Andrew M. Smith
Publication date
01-08-2007
Publisher
Springer-Verlag
Published in
Hernia / Issue 4/2007
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-007-0188-5

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