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Case Reports
. 2015 Dec 8:5:72-5.
doi: 10.1016/j.amsu.2015.11.012. eCollection 2016 Feb.

Bochdalek hernia: A rare case report of adult age

Yusuf Yagmur  1 , Ebral Yiğit  1 , Mehmet Babur  1 , Serdar Gumuş  1
Affiliations
Case Reports

Bochdalek hernia: A rare case report of adult age

Yusuf Yagmur et al. Ann Med Surg (Lond). .

Abstract

Introduction: Bochdalek hernia is the most common type of congenital diaphragmatic hernia and constitutes 85% of cases. Bochdalek hernia (BH) in adults is extremely rare. We present a BH case in an adult patient and discuss the literature.

Presentation: 22-year-old female patient with abdominal pain, occasional cramps, dysphagic problems, constipation, shortness of breath and choking for about 2 years applied to our clinic.

Diagnosis: A defect about 5 cm in the left hemidiaphragm posterior area and herniation of intra-abdominal fat plan in the left hemithorax was seen in intravenous and oral whole abdominal CT.

Treatment: Patient was operated laparoscopically. Transverse colon and a large portion of the omentum entering into hemidiaphragm were pulled in to intraperitoneal area carefully. Approximately 10 × 8 cm intraabdominal mesh was fixed to the defect area with the help of laparoscopic tacker.

Conclusion: Adult BH is very rare and when confronted laparoscopic treatment with mesh fixation can be performed safely.

Keywords: Adult; Bochdalek hernia; Laparoscopic treatment.

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Figures

Fig. 1
Fig. 1
Computerized tomography view of defect (arrow).
Fig. 2
Fig. 2
Laparoscopic view of defect.
Fig. 3
Fig. 3
Mesh fixation of defect.
See this image and copyright information in PMC

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