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Bochdalek Hernia in an Adult Causing Intraoperative Complication
Kalvin Zee1, Ashna Haque1, Conor Kelly1
1General Surgery, Rocky Vista University College of Osteopathic Medicine, Ivins, USA.
Cureus
|October 20, 2021
Summary
Bochdalek hernias, rare congenital diaphragmatic defects, can cause symptoms in adults. This case highlights incidental diagnosis and repair during laparoscopic surgery, noting potential complications like pneumothorax.
Area of Science:
- Medical Case Study
- Surgical Gastroenterology
- Thoracic Surgery
Background:
- Bochdalek hernias are rare congenital diaphragmatic defects, often undiagnosed in adults.
- They result from incomplete closure of the pleuroperitoneal membrane during fetal development.
- Symptoms may include chest pain, respiratory distress, or gastrointestinal issues.
Observation:
- A case involving laparoscopic paraesophageal hernia repair with Nissen fundoplication.
- An incidental Bochdalek hernia was identified and repaired during the procedure.
- The patient experienced post-operative pneumothorax, a potential complication.
Findings:
- The study details the incidental discovery and surgical management of an adult Bochdalek hernia.
- Laparoscopic repair of this congenital defect carries risks, including iatrogenic injury.
- Pneumothorax was observed as a complication, possibly linked to the diaphragmatic defect.
Implications:
- Highlights the importance of recognizing rare congenital anomalies in adult surgical patients.
- Underscores the potential complications associated with repairing diaphragmatic defects, such as pneumothorax.
- Suggests vigilance during laparoscopic procedures for incidental findings like Bochdalek hernias.
