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Bochdalek's hernia in an adult with colon necrosis

A Kocakusak1, S Arikan, O Senturk

  • 1Haseki Education and Research Hospital General Surgery Clinic, Istanbul, Turkey. ahmetkocakusak@yahoo.com

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|February 2, 2006
PubMed

Insights

Bochdalek

Area of Science:

  • Medical Science
  • Surgical Innovation

Background:

  • Bochdalek's hernia, a congenital diaphragmatic anomaly, presents with varying incidence (1/7,000 to 6%) and can manifest in neonates or adults.
  • While often asymptomatic and incidentally discovered in adults, symptomatic cases, though rarer, carry significant risks.
  • Colon necrosis is a known complication in symptomatic Bochdalek's hernia cases.

Observation:

  • A 21-year-old male presented with a left-sided Bochdalek's hernia.
  • The hernia resulted in complete necrosis of the transverse colon.
  • The patient underwent surgical resection and colocolonic anastomosis, followed by diaphragmatic defect repair.

Findings:

  • Successful surgical management of a rare adult Bochdalek's hernia.
  • Demonstration of colon necrosis as a severe complication.
  • Complete recovery and discharge on postoperative day 10.

Implications:

  • Highlights the importance of recognizing Bochdalek's hernia in adults, even when asymptomatic.
  • Emphasizes the need for early diagnosis to prevent severe complications like colon necrosis.
  • Underscores the effectiveness of prompt surgical intervention in improving patient outcomes.

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