Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018:48:10-15.
doi: 10.1016/j.ijscr.2018.04.028. Epub 2018 May 1.

Laparoscopic surgery for a Bochdalek hernia triggered by pregnancy in an adult woman: A case report

Shotaro Matsudera  1 , Masanobu Nakajima  2 , Masakazu Takahashi  2 , Hiroto Muroi  2 , Maiko Kikuchi  2 , Yosuke Shida  2 , Keisuke Ihara  2 , Satoru Yamaguchi  2 , Kinro Sasaki  2 , Takashi Tsuchioka  2 , Hiroyuki Kato  2
Affiliations

Laparoscopic surgery for a Bochdalek hernia triggered by pregnancy in an adult woman: A case report

Shotaro Matsudera et al. Int J Surg Case Rep. 2018.

Abstract

Introduction: A Bochdalek hernia (BH) is a type of congenital diaphragmatic hernia. We herein describe an adult woman with a BH triggered by pregnancy and treated by laparoscopic surgery.

Presentation of case: A 26-year-old woman was referred to our hospital because of abdominal pain and dyspnea resulting from a left diaphragmatic hernia. She was diagnosed with a BH and underwent laparoscopic surgery. Her postoperative progress was satisfactory, and no recurrence was found at follow-up approximately 1 year later.

Discussion: A recently published study reviewing detailed cases of laparoscopic and/or thoracoscopic repair of adult BH from 1999 to 2016 identified 30 cases. A laparoscopic approach for treatment of BH has recently attracted increasing interest.

Conclusion: Laparoscopic surgery can be safely performed on adults with BH without complications.

Keywords: Adult Bochdalek hernia; Case report; Laparoscopic surgery; Mesh repair.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Chest radiograph shows gastric bubbles occupying the left thoracic cavity.
Fig. 2
Fig. 2
Computed tomography shows that the stomach, spleen, and colon were prolapsing into the left thoracic cavity.
Fig. 3
Fig. 3
Three trocars were placed in the umbilical (12 mm), right hypochondriac (5 mm), and left hypochondriac (12 mm) regions.
Fig. 4
Fig. 4
A 7- × 5-cm hernial defect was found without a hernial sac.
Fig. 5
Fig. 5
The defect was repaired with absorbable suture (3-0 VICRYL; Ethicon) and reinforced with Parietex Optimized Composite mesh (Covidien). The mesh was fixed to the diaphragm with an Endo Universal stapler (Covidien).
Fig. 6
Fig. 6
The postoperative chest radiograph at the 1-year follow-up showed no sign of recurrence.
See this image and copyright information in PMC

References

    1. Tokumoto N., Tanabe K., Yamamoto H., Suzuki T., Miyata Y., Ohdan H. Thoracoscopic-assisted repair of a Bochdalek hernia in an adult: a case report. J. Med. Case Rep. 2010;4:366. - PMC - PubMed
    1. Agha R.A., Fowler A.J., Saeta A., Barai I., Rajmohan S. Orgill DP; SCARE Group: The SCARE Statement: Consensus-based surgical case report guidelines. Int. J. Surg. 2016;34:180–186. - PubMed
    1. Sutedja B., Muliani Y. Laparoscopic repair of a Bochdalek hernia in an adult woman. Asian J. Endosc. Surg. 2015;8:354–356. - PMC - PubMed
    1. Harada M., Tsujimoto H., Nagata K., Ito N., Yamazaki K., Kanematsu K. Successful laparoscopic repair of an incarcerated Bochdalek hernia associated with increased intra-abdominal pressure during use of blow gun: a case report. Int. J. Surg. Case Rep. 2016;23:131–133. - PMC - PubMed
    1. Laaksonen E., Silvasti S., Hakala T. Right-sided Bochdalek hernia in an adult: a case report. J. Med. Case Rep. 2009;3:9291. - PMC - PubMed