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Bochdalek hernia in an adult
I Prieto Nieto1, J P Perez Robledo, D Hardisson
1Department of Surgery, Hospital La Paz, Madrid, Spain.
Scandinavian Cardiovascular Journal : SCJ
|June 24, 1998
Summary
Adult Bochdalek hernias are rare and can cause jejunal perforation. This case highlights a 28-year-old man with a large jejunal hernia, successfully treated with resection and remaining well ten years later.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Medical Imaging
Background:
- Congenital diaphragmatic Bochdalek hernia (CDH) is uncommon in adults.
- CDH can lead to severe complications such as jejunal perforation and strangulation.
Observation:
- A 28-year-old male presented with nausea and vomiting.
- Physical examination revealed absent breath sounds on the left.
- Radiography showed small intestinal loops in the left hemithorax with air-fluid levels.
Findings:
- Surgical exploration identified 1.5 meters of herniated jejunum.
- Three perforations and necrotic segments were present in the herniated jejunum.
- 40 cm of compromised jejunum was resected.
Implications:
- Prompt surgical intervention is crucial for managing adult CDH with complications.
- Successful resection and repair can lead to long-term positive outcomes.
- This case underscores the importance of considering rare diagnoses in adult presentations.