Strangulated Bochdalek Hernia in Adults: Timely Recognition and Surgical Intervention Can Prevent a Lethal Outcome

Siddharth S Das1, Zaid AbdelAziz1, Suhasini Krishnan2

  • 1General Surgery, Dubai Hospital, Dubai, ARE.

Cureus
|December 27, 2023
PubMed

Insights

Bochdalek hernias are rare but can cause serious complications in adults. Prompt diagnosis and surgical repair are crucial for effective treatment and preventing adverse outcomes.

Area of Science:

  • Medical Science
  • Surgical Procedures
  • Diagnostic Imaging

Background:

  • Bochdalek hernias are uncommon congenital abnormalities of the diaphragm, typically diagnosed in pediatric patients.
  • Adult presentation can be varied, including gastrointestinal symptoms like abdominal pain, pressure, choking, or dysphagia.
  • Computed tomography (CT) is the preferred diagnostic imaging modality.

Observation:

  • This case highlights a rare instance of strangulated Bochdalek hernia in an adult.
  • The patient presented with symptoms necessitating urgent surgical intervention.
  • Clinical presentation can be non-specific, potentially delaying diagnosis.

Findings:

  • Surgical reduction of the herniated organ and repair of the diaphragmatic defect are the definitive treatments.
  • Surgery is recommended even for asymptomatic adult patients to mitigate risks of future complications.
  • Strangulation is a severe complication that requires immediate surgical management.

Implications:

  • Accurate and timely diagnosis of Bochdalek hernias in adults is critical.
  • Early surgical intervention is essential, especially in cases with potential for obstruction or strangulation.
  • Understanding the varied clinical presentations is key for effective patient management.