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Congenital diaphragmatic hernia: an unusual cause of obstructive jaundice

H G Jones1, A Kadhim, M Nutt

  • 1Department of Surgery, Royal Gwent Hospital, Newport, UK. huwgjones@hotmail.com

Annals of the Royal College of Surgeons of England
|April 25, 2012
PubMed

Insights

Congenital diaphragmatic hernias are rare in adults. This case highlights obstructive jaundice caused by a Bochdalek hernia, emphasizing the need for timely diagnosis and management.

Area of Science:

  • Gastroenterology and Hepatology
  • Thoracic Surgery
  • Medical Diagnostics

Background:

  • Congenital diaphragmatic hernias (CDH) are rare in the adult population.
  • Typical presentations include dyspnea, gastric reflux, and intestinal obstruction.

Observation:

  • A young woman presented with obstructive jaundice.
  • The jaundice was found to be secondary to a Bochdalek hernia of the right hemidiaphragm.

Findings:

  • Bochdalek hernias can present atypically in adults, leading to conditions like obstructive jaundice.
  • Diagnostic imaging is crucial for identifying diaphragmatic defects in adults.

Implications:

  • This case underscores the importance of considering rare diagnoses in adult patients with gastrointestinal and biliary symptoms.
  • Early recognition and surgical intervention are key for favorable outcomes in adult CDH.

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