Late presentation of a right Bochdalek hernia with a right intrathoracic stomach and organo-axial torsion

A postero-lateral hernia through the foramen of Bochdalek is a rare type of congenital diaphragmatic hernia CDH. The incidence of Bochdalek hernia on the right side is 10-20% compared to the left side, and herniation of the stomach into the right pleural cavity is extremely rare. We report a case of...

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Bibliographic Details
Published inSaudi medical journal Vol. 26; no. 7; p. 1122
Main Authors Al-Shehri, Mohammed A, Al-Binali, Ali M, Eid, Waleed A, Osinowo, Olu A, Mohammed, Nabil E
Format Journal Article
LanguageEnglish
Published Saudi Arabia 01.07.2005
Subjects
Child, Preschool
Female
Hernia, Diaphragmatic - diagnosis
Hernia, Diaphragmatic - surgery
Hernias, Diaphragmatic, Congenital
Humans
Stomach - abnormalities
Stomach - surgery
Torsion Abnormality - congenital
Torsion Abnormality - diagnosis
Torsion Abnormality - surgery
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Summary:A postero-lateral hernia through the foramen of Bochdalek is a rare type of congenital diaphragmatic hernia CDH. The incidence of Bochdalek hernia on the right side is 10-20% compared to the left side, and herniation of the stomach into the right pleural cavity is extremely rare. We report a case of right-sided Bochdalek hernia with a right intrathoracic stomach and organo-axial torsion misdiagnosed initially, and treated as a case of hyperactive airway disease. The child had a right thoracotomy, excision of the hernia sac that contained the stomach, greater omentum and part of the liver, reduction of the viscera into the abdominal cavity and simple closure of the diaphragmatic defect. Recovery was uneventful. This case highlights the consequences of late diagnosis and the effectiveness of surgical relief. A new clinico-anatomical classification of Bochdalek hernia is presented.
ISSN:0379-5284