Bochdalek Hernia Revealed by Incarceration of the Splenic Flexure: A Rare Case in an Adult

Bochdalek hernia (BH), a congenital anomaly that typically manifests in infancy, occasionally presents in adults and can lead to serious complications. "Splenic flexure incarceration" within a BH is a rare but clinically significant event, in which the colonic segment near the spleen becomes entrapped, leading to potential acute complications.

A 51-year-old male with no significant medical history presented with acute abdominal pain, nausea, and an absence of bowel movements. Diagnostic imaging revealed a left-sided BH with splenic flexure and incarcerated omentum, causing marked colonic distension. Emergency surgery was performed, successfully releasing the adhesions and restoring colonic integrity. The patient's postoperative course was unremarkable, and he was discharged in good health.

This case highlights the rarity of adult BH with splenic flexure incarceration, and the need for swift surgical intervention to prevent life-threatening sequelae.