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Laparoscopic repair of Bochdalek's hernia with gastric volvulus
G Carreño1, R Sánchez, R A Alonso
1Department of General Surgery, Hospital de Cabueñes, 33394 Cabueñes - Gijón, Asturias, Spain. Guisilvi@teleline.es
Abstract:
Bochdalek's hernia is the most common congenital diaphragmatic hernia in newborns, but it is an uncommon clinical feature in adults. In most cases, there are no symptoms or only minor gastrointestinal problems. Rarely, it may manifest as an acute abdomen due to viscus strangulation, requiring emergency surgery. We report the case of a 52-year-old man with herniation of the colon and a volvulated stomach through a Bochdalek's hernia. The patient was operated on via a laparoscopic approach and had an uneventful recovery. We recommend the laparoscopic approach as an alternative to open surgery in cases of noncomplicated Bochdalek's hernia.