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CC BY 4.0 · Surg J (N Y) 2021; 07(03): e124-e126
DOI: 10.1055/s-0041-1731443
Case Report

Left-Sided Bochdalek's Hernia in a Young Adult: A Case Report and Literature Review

Mark Portelli 
1   Department of Surgery, Mater Dei Hospital, Msida, Malta
,
Mark Bugeja
1   Department of Surgery, Mater Dei Hospital, Msida, Malta
,
Charles Cini
1   Department of Surgery, Mater Dei Hospital, Msida, Malta
› Author Affiliations Funding There were no funding sources required for the completion of this paper.
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Abstract

Purpose Bochdalek's hernia is a type of congenital diaphragmatic hernia occurring secondary to a defect in the posterior attachment of diaphragm. This condition commonly presents with respiratory insufficiency in infants. To date, there are less than 100 cases of Bochdalek's hernia presenting in adults published in the literature. The mainstay treatment of Bochdalek's hernia involves reduction of hernial contents back into the peritoneal cavity with a tensionless graft repair closing the diaphragmatic defect.

Case Presentation We present an atypical case of the Bochdalek hernia presenting in a previously healthy 16-year-old male who presented to the Accident and Emergency department with a 2-day history of dysphagia and loss of breath. The Bochdalek hernia was confirmed on computed tomography (CT) imaging and the patient underwent surgical repair with Gore-Tex mesh.

Conclusion The report shows a rare case of the Bochdalek hernia in a young adult, successfully managed with a laparotomy.

Keywords

Bochdalek's hernia - gastric volvulus - congenital abnormalities - Gore-Tex mesh - dysphagia


Publication History

Received: 28 October 2019

Accepted: 22 April 2021

Article published online:
19 July 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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