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Congenital foramen of Bochdalek's hernia in an infant with obstructive jaundice
J L Allen1, J A Petrovich, N A Gooley
1Department of Surgery, Southern Illinois University School of Medicine, Springfield, Ill. 62794-9230.
Surgery
|February 1, 1989
Insights
A rare case of infantile obstructive jaundice linked to a right-sided Bochdalek
Area of Science:
- Pediatric Surgery
- Neonatal Jaundice
- Congenital Abnormalities
Background:
- Congenital diaphragmatic hernias (CDH) are known birth defects.
- Right-sided CDH are less common and often present later than left-sided.
- Obstructive jaundice in infants typically has other causes.
Observation:
- A case of infantile obstructive jaundice was observed.
- The jaundice was caused by a right-sided foramen of Bochdalek's diaphragmatic hernia.
- This specific association had not been previously reported in an infant.
Findings:
- Extrahepatic biliary obstruction was identified as the cause of jaundice.
- Surgical reduction of the hernia contents successfully relieved the obstruction.
- This case highlights an unusual presentation of right-sided congenital diaphragmatic hernia.
Implications:
- This case expands the known clinical presentations of congenital diaphragmatic hernias.
- It suggests that diaphragmatic hernias should be considered in the differential diagnosis of infantile obstructive jaundice.
- Early recognition and surgical intervention are crucial for favorable outcomes in such rare presentations.
Abstract:
A case of infantile obstructive jaundice caused by a right-sided foramen of Bochdalek's diaphragmatic hernia is reported. This association has not previously been reported in an infant. At operation, extrahepatic biliary obstruction was relieved by reduction of the contents of the hernia. This unusual presentation of a right-sided congenital diaphragmatic hernia underscores the usual diagnostic delay seen with such lesions.