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Strangulated Bochdalek Hernia in an Adult Patient
Maria Ana Mirante1, Marco Serôdio2, Lucília Conceição1
1ULS Médio Tejo Tomar Portugal.
Clinical Case Reports
|December 5, 2025
Summary
Strangulated Bochdalek hernia in adults is rare and dangerous. High suspicion, prompt imaging, and early surgery are vital for diagnosis and survival.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Emergency Medicine
Background:
- Strangulated Bochdalek hernia is a rare but life-threatening condition in adults.
- Diagnosis can be challenging due to nonspecific symptoms.
Purpose of the Study:
- To emphasize the importance of high clinical suspicion for diagnosing strangulated Bochdalek hernia in adults.
- To highlight the critical role of prompt imaging and early surgical intervention.
Main Methods:
- Review of clinical cases and diagnostic imaging findings.
- Analysis of patient outcomes based on timing of intervention.
Main Results:
- Nonspecific symptoms often delay diagnosis.
- Prompt imaging (e.g., CT scan) is crucial for identification.
- Early surgical intervention significantly reduces mortality and complications.
Conclusions:
- A high index of suspicion is essential for early diagnosis of strangulated Bochdalek hernia.
- Timely imaging and prompt surgical management are critical for favorable outcomes.

