CASE REPORT

A rare case report of symptomatic Bochdalek hernia in an adult

Supomo Supomo

Supomo Supomo
Thoracic and Cardiovascular Surgery Division, Department of Surgery, Dr. Sardjito General Hospital, Faculty of Medicine, Universitas Gadjah Mada. Email: supomo.tkv@mail.ugm.ac.id
Online First: February 02, 2020 | Cite this Article
Supomo, S. 2020. A rare case report of symptomatic Bochdalek hernia in an adult. Bali Medical Journal 9(1): 19-21. DOI:10.15562/bmj.v9i1.1600


Background: Bochdalek hernia is the most common type of congenital diaphragmatic hernia and is commonly diagnosed prenatally or in the immediate postnatal period. Adult cases are extremely rare and mostly asymptomatic. Symptomatic cases are even more exceptional with a wide variety of gastrointestinal or respiratory symptoms, which makes it difficult to diagnose.

Case: A 58-year-old female had experienced nausea, vomiting, atypical chest pain, and productive cough for two weeks before admission. She was diagnosed and treated for pneumonia and dyspepsia before being referred to our hospital. Further investigation using computerized tomography (CT) scan of the thorax showed a defect at the posterior aspect of left hemidiaphragm with a protrusion of the stomach and its omentum to the left hemithorax.

Conclusion: Symptomatic adult case of Bochdalek hernia is rare and difficult to diagnose. The CT scan can be used to confirm the diagnosis.

References

Candrasekharan PK, Rawat M, Madappa R, Royhstein DH, Lakshminrusimha S. Congenital diaphragmatic hernia - a review. Matern Health Neonatol Perinatol. 2017; 3:1-16.

Yagmur Y, Yigit E, Babur M, Gumus S. Bochdalek hernia: a rare case report of adult age. Ann Med Surg. 2016; 5:72-75.

Alam WC, Chander GC. Adult Bochdalek hernia. Med J Armed Forces India. 2005; 61:284-286.

Venkatesh SP, Ravi MJ, Thrishuli, Chandra BJ. Asymptomatic presentation of Bochdalek hernia in adult. Indian J Surg. 2011; 73:382-383.

Hamid KS, Rai SS, Rodriguez JA. Symptomatic Bochdalek hernia in an adult. JSLS. 2010; 14:279-281.

Santos-Netto JM, Oliveira CV, Sousa MG. Right-sided Bochdalek hernia in adult associated with cholestatic syndrome: case report. Arq Bras Cir Dig. 2015; 28:299-301.

Saroj SK, Kumar S, Afaque Y, Bhartia AK, Bhartia VK. Laparoscopic repair of congenital diaphragmatic hernia in adults. Minimally Invasive Surgery. 2016; 9032380.


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