Posterolateral diaphragmatic hernia with small-bowel incarceration in an adult

Bochdalek hernia (BH), a closing defect of the peripheral posterior aspect of the diaphragm, is the commonest of the congenital diaphragmatic hernias and is usually diagnosed in neonates. Symptomatic presentation of a right-sided diaphragmatic hernia in an adult is unusual. Owing to their rarity and...

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Bibliographic Details
Published inSouth African journal of surgery Vol. 51; no. 2; pp. 73 - 74
Main Author Wenzel-Smith, Gisela
Format Journal Article
LanguageEnglish
Published South Africa South African Sports Medicine Association 01.05.2013
Medpharm Publications
Subjects
Adult
CT imaging
Diagnosis, Differential
Diaphragm
Female
Health aspects
Hernia
Hernia, Diaphragmatic - diagnostic imaging
Hernia, Diaphragmatic - surgery
Hernias
Humans
Intestinal Obstruction - diagnostic imaging
Intestinal Obstruction - surgery
Intestine, Small
Laparotomy
Radiography, Thoracic
South Africa
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Summary:Bochdalek hernia (BH), a closing defect of the peripheral posterior aspect of the diaphragm, is the commonest of the congenital diaphragmatic hernias and is usually diagnosed in neonates. Symptomatic presentation of a right-sided diaphragmatic hernia in an adult is unusual. Owing to their rarity and varied presentation, they can pose a diagnostic challenge. A right-sided BH in a 40-year-old woman who presented with respiratory distress associated with abdominal pain and symptoms of small-bowel obstruction is reported. Midline laparotomy revealed necrotic small bowel and faecothorax of the pleural cavity. Diaphragmatic hernias should be included in the differential diagnosis of patients with acute or chronic gastrointestinal, or less frequently respiratory, symptoms.
Bibliography:ObjectType-Case Study-2
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ISSN:0038-2361
2078-5151
DOI:10.7196/SAJS.1320