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Incidental finding of Bochdalek hernia in an adult: a case report
Rosario Francesco Balzano1, Giacomo Fascia2, Alessio Sciacqua3
1Radiology Unit, Barletta University Hospital, Italy. ro.balzano@gmail.com.
Insights
A rare, silent Bochdalek hernia (congenital diaphragmatic hernia) was incidentally discovered in a 56-year-old male during a CT scan for rectal bleeding. This case highlights the possibility of late-life diagnosis for this infant condition.
Area of Science:
- Medical Imaging
- Surgical Pathology
- Pediatric Surgery
Background:
- A Bochdalek hernia, or congenital diaphragmatic hernia (CDH), is a birth defect where the diaphragm has an opening, allowing abdominal organs into the chest.
- CDH typically affects infants, often presenting with severe respiratory distress.
- Undiagnosed CDH in adults is exceptionally rare, with most cases identified in early childhood.
Abstract:
A Bochdalek hernia, also known as a congenital diaphragmatic hernia (CDH), is a type of hernia that occurs in infants. The diaphragm, the muscle that separates the chest cavity from the abdominal cavity, is characterized by a hole or gap during birth. This opening allows the abdominal organs, such as the stomach, intestines, or liver, to pass through the thoracic cavity. Here, we report a 56-year-old male patient who came to our hospital because of rectal bleeding, symptoms unrelated to the hernia. We performed a Computed Tomography (CT) scan with contrast enhancement to find the cause of the bleeding and as an incidental finding we diagnosed the hernia: it is very rare to find a silent Bochdalek hernia for more than 50 years.
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