Rare case of a right Bochdalek hernia with retroperitoneal prolapse of organs into the thoracic cavity in infancy: A case report

We report an extremely rare case of a right Bochdalek hernia with a sac, in which the retroperitoneal and intra‐abdominal organs prolapsed into the thoracic cavity at the same time. The patient was a 7‐month‐old female with no comorbidities. She presented with cough and fever, and chest radiography...

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Bibliographic Details
Published inAsian journal of endoscopic surgery Vol. 16; no. 2; pp. 284 - 288
Main Authors Nakagawa, Yoichi, Uchida, Hiroo, Hinoki, Akinari, Shirota, Chiyoe, Sumida, Wataru, Makita, Satoshi, Amano, Hizuru, Masamune, Okamoto, Takimoto, Aitaro, Ogata, Seiya, Takada, Shunya, Kato, Daiki, Gohda, Yousuke, Guo, Yaohui
Format Journal Article
LanguageEnglish
Published Kyoto, Japan John Wiley & Sons Australia, Ltd 01.04.2023
Wiley Subscription Services, Inc
Subjects
Abdomen - surgery
Bochdalek hernia
Case reports
congenital diaphragmatic hernia
Diaphragm (Anatomy)
Female
Hernias
Hernias, Diaphragmatic, Congenital - complications
Hernias, Diaphragmatic, Congenital - diagnostic imaging
Hernias, Diaphragmatic, Congenital - surgery
Humans
Infant
Prolapse
retroperitoneal hernia
Surgical outcomes
Thoracic Cavity - surgery
Thoracic surgery
Thoracoscopy
Thorax
retroperitoneal hernia
Bochdalek hernia
congenital diaphragmatic hernia
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Summary:We report an extremely rare case of a right Bochdalek hernia with a sac, in which the retroperitoneal and intra‐abdominal organs prolapsed into the thoracic cavity at the same time. The patient was a 7‐month‐old female with no comorbidities. She presented with cough and fever, and chest radiography revealed a right diaphragmatic hernia. Computed tomography showed that the right kidney, intestine, colon, and liver had prolapsed into the thoracic cavity. The patient underwent thoracoscopic surgery, which showed that the abdominal and retroperitoneal organs prolapsed into the thoracic cavity through the Bochdalek hernia. The herniated organs were spontaneously reduced using thoracoscopic insufflation. The defect hole was closed with artificial mesh. We adopted a thoracoscopic approach, in terms of easy reduction of herniated organs and accurate evaluation of the hernia orifice, which was useful.
ISSN:1758-5902
1758-5910
DOI:10.1111/ases.13139