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[Bochdalek hernia with gastric incarceration and volvulus]
G Tiberio1, H Ortiz, R Coscoyuela
1Servicio de Medicina Interna, Hospital Virgen del Camino, Pamplona.
Revista Clinica Espanola
|April 1, 1992
Summary
Bochdalek's hernia is rare in adults. A young male with sudden chest pain required a total gastrectomy due to a large gastric herniation.
Area of Science:
- Medical Case Reports
- Surgical Gastroenterology
- Thoracic Surgery
Background:
- Bochdalek's hernia is an uncommon condition in adult populations.
- Congenital diaphragmatic hernias are typically diagnosed in infancy.
Observation:
- A 22-year-old male presented with acute thoracic pain and left hypochondrium tenderness.
- Radiological imaging revealed an arched opacity at the left lung base with pleural effusion.
Findings:
- Surgical exploration identified a significant gastric herniation.
- The extensive herniation necessitated a total gastrectomy for treatment.
Implications:
- This case highlights the potential for late-onset Bochdalek's hernia in adults.
- It underscores the importance of considering rare diagnoses in patients with unexplained thoracic symptoms.
- Aggressive surgical intervention may be required for large adult Bochdalek's hernias.