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Case Reports
. 2017 Aug;9(8):E682-E684.
doi: 10.21037/jtd.2017.07.08.

An unusually large paraesophageal hernia mimicking a Bochdalek hernia

Daneish Selvakumar  1 , Karan Sian  2 , Ajay J Iyengar  2 , Ross Mejia  2
Affiliations
Case Reports

An unusually large paraesophageal hernia mimicking a Bochdalek hernia

Daneish Selvakumar et al. J Thorac Dis. 2017 Aug.

Abstract

Hiatal hernias are due to defects in the esophageal hiatus in the diaphragm and can be classified into sliding or paraesophageal hernias. A 31-year-old male raised a suspicion of a Bochdalek hernia but at surgery had a large paraesophageal hernia. Bochdalek hernia, a congenital diaphragmatic hernia presents in adulthood asymptomatically or with vague abdominal symptoms. It is paramount to confirm the diagnosis and rule out any fatal complications with imaging studies. Prompt surgical management with large complicated hernias, such as in our case presentation would ensure the most favorable outcome.

Keywords: Congenital; paraesophageal hernia; thoracotomy.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Radiographic imaging prior to surgical repair. (A) Chest X-ray prior to surgery showing loops of bowel in thoracic cavity and right lung compression; (B) axial computed tomography scan showing dilated bowel loops within the hernia sac.
Figure 2
Figure 2
A coronal comparison pre and post hernia repair. (A) Coronal computed tomography scan indicating the size of herniation; (B) chest X-ray post-surgical repair.
See this image and copyright information in PMC

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