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Case Reports
. 2009 Mar;178(1):111-3.
doi: 10.1007/s11845-008-0140-4. Epub 2008 Apr 9.

Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report

R Kennedy  1 , A Donaghy, J Ahmad, K McManus, W D B Clements
Affiliations
Case Reports

Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report

R Kennedy et al. Ir J Med Sci. 2009 Mar.

Abstract

Background: A congenital diaphragmatic hernia (Bochdalek's hernia) rarely presents in adulthood.

Case presentation: We present the case of a 21-year-old woman with thrombocytopenia secondary to hypersplenism due to left-sided (sinistral) portal hypertension. This portal hypertension was caused by strangulation of the spleen within a Bochdalek's hernia. Subacute gastric volvulus compounded by portal hypertensive gastropathy resulted in her presentation with acute haematemesis.

Conclusions: Congenital diaphragmatic hernias may present in the adult. Their presentation is variable, and they may produce life-threatening complications.

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