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Chronic liver herniation through a right Bochdalek hernia with acute onset in adulthood
P M Fisichella1, S Perretta, A Di Stefano
1Divisione Clinicizzata di Chirurgia d'Urgenza e Pronto Soccorso, Azienda Ospedaliera Catanizzaro, Catania. macrof@itsa.ucsf.edu
Annali Italiani Di Chirurgia
|June 14, 2002
Abstract:
Congenital right diaphragmatic hernia of Bochdalek rarely occurs in adults and usually is asymptomatic. We report a right Bochdalek hernia with chronic liver herniation and intestinal malrotation in a 55-year old woman who presented with acute intestinal occlusion. The diagnosis required definitive confirmation by CT scan. With impending strangulation, emergency surgery through a thoracoabdominal approach resulted in an easy hernia repair and reduced the technical difficulties due to the intestinal malrotation.