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Case Reports
. 2015 Aug;8(3):354-6.
doi: 10.1111/ases.12179.

Laparoscopic repair of a Bochdalek hernia in an adult woman

Barlian Sutedja  1 , Yenny Muliani  1
Affiliations
Case Reports

Laparoscopic repair of a Bochdalek hernia in an adult woman

Barlian Sutedja et al. Asian J Endosc Surg. 2015 Aug.

Abstract

Bochdalek hernia (BH) is a congenital defect of the diaphragm that usually presents in the neonatal period with life threatening cardiorespiratory distress. It is rare for BH to remain silent until adulthood. A 51-year-old woman presented with progressive dyspnea and abdominal symptoms, but without a history of trauma. The diagnosis of BH was made based on chest X-ray and CT. The hernia was repaired by the laparoscopic technique, and the patient made an uneventful recovery. This report validates the feasibility of laparoscopic repair of BH in an adult, which should be within the capability of an advanced laparoscopic surgeon.

Keywords: Adult; Bochdalek hernia; laparoscopic repair.

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Figures

Figure 1
Figure 1
Coronal and sagital CT scan showing a large posterior defect at the left hemidiaphragm, a mediastinal shift to the right, and the presence of herniated viscera in the left thoracic cavity.
Figure 2
Figure 2
Left-sided 8 × 10-cm hernia defect.
Figure 3
Figure 3
Reinforcement with a 15 × 20-cm flexible composite mesh (Physiomesh; Ethicon Endo-Surgery).
Figure 4
Figure 4
Chest X-ray 6 months postoperatively revealed no sign of recurrence and a good cosmetic result.
See this image and copyright information in PMC

References

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