Symptomatic Bochdalek Hernia in Adult: a Case Report
Abstract
Background: The congenital malformation of the posterolateral portion of the diaphragm is called the Bochdalek hernia, and was first described in 1948 by anatomy professor Bochdalek. The diagnosis in adults is extremely rare, being in the majority, an occasional finding in a chest x-ray.
Case: The authors report a Bochdalek Hernia case in an adult pacient, with complaints of dyspnea and epigastralgia refractory to pharmacological treatment. The diagnosis was confirmed after a chest CT scan.
Conclusion: Bochdalek hernias are extremely rare in adults, commonly diagnosed in childhood. The importance of recognition of its diagnosis is crucial, so it should be always among differential diagnoses in radiology, due to the range of complications that may affect the patients.
References
1. Oliveira Daniel Riccioppo C.F. de, Rodrigues Jr. Aldo Junqueira. Hérnia de bochdalek em adulto. Rev. Col. Bras. Cir. 2008; 35 (1): 40-41
2. Tavares FLS, AsCBC-ES , Tavares MB, Pimentel MC, Machado IFR, Loureiro ER, et al. Hérnia diafragmática congênita em adulto. Rev. Col. Bras. Cir.2016;(4):1-3.
3. Mihaimeed F, Young A, Paes T. Na unusual cause of large bowel obstruction. Ann Thorac Surg. 1996;29: 309-310
4. Sheehn JJ, Kearns SR, Mcnamara DA, Brennan RP, Deasy JM. Adult Presentation of Agenesis of the Hemidiaphrgm. Chest. 2000; 117 (3): 901-902
5. Souza PH, Breigeiron R, Oliveira JK, Tatim JO, Costa LB. Rev Amrigs. 2004; 48 (4): 265-267
6. Sutedja B, Muliani Y. Laparoscopic repair of Bochdalek hernia in an adult woman. Asian J Endosc Surg. 2015;8(3):354-356
7. Zhou Y, Du H, Che G. Giant congenital diaphragmatic hernia in an adult. J Cardiothorac Surg. 2014;9:31
8. Swain JM, Klaus A, Achem SR, Hinder RA. Congenital diaphragmatic hernia in adults. Semin Laparoc Surg 2001;8:246-355
9. Kinoshita F, Ishiyama M, Honda S, Matsuzako M, Oikado K, Kinoshita T, et al. Late-presenting posterior transdiaphragmatic (Bochdalek) hernia in adults: prevalence and MDCT Characteristics. Thorac Imaging 2009;24(1):17-22
10. Garófano-Jerez JM, López GJD, Valero GM.ª Ángeles, VBM. Posterolateral Bochdalek diaphragmatic hernia in adults. Rev. esp. enferm. dig.. 2011;103( 9 ): 484-491
11. Vieira LH, Castanhel DC, Tristão LJ , Guimarães A, Ribas CS. Hérnia diafragmática congênita simulando derrame pleural. Relato de caso. Rev Bras Clin Med. 2013; 11 (1): 94-96.
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