ADULT BOCHDALEK HERNIA: AN UNUSUAL PRESENTATION AND DIAGNOSTIC DILEMMA.

Nikhil S Shetty, Vijay P Agrawal, Ashwin Narasimhaprasad

Abstract


Bochdalek hernia is a rare condition in adult and usually diagnosis is missed. It is usually mistakenly diagnosed as TB, pleural effusion, empyema, lung cyst and pneumothorax. Delayed presentation is not uncommon. We present a case of 18 year old male patient who was misdiagnosed as having left sided pleural effusion with TB and associated gastritis for three days and later referred to our institution. Diagnosis was established by physical examination, chest x-ray and chest CT- scan. Per operatively a gangrenous ileal segment was seen of about 10 cms which was later resected. The Hernia was later closed with Prolene sutures.


Keywords


Bochdalek hernia, Tuberculosis

Full Text:

PDF

References


Marleta R. Diaphragmatic anomalies. In: Raffensperger JG, ed Swenson's Textbook of Paediatric Surgery; Vth edn. New York: Appleton and Lange; 1990: 721-35.

Ohura H, Kondo T, Iwabuchi S, Mathsumura Y, Sait R, Okado Y. Congenital posterolateral diaphragmatic hernia. Kyobu Geka 1996; 49: 420-23.

Prieto Nieto I, Perez Robledo JP, Hardisson D, Granado de la, Fuente A. Bochdalek hernia in an adult. Scand Cardiovasc J 1998; 32 : 113-14

Thomas S, Kapur B. Adult Bochdalek hernia- Clinical features management and results of treatment. Jpn J Surg 1991; 21(1): 114-9.

Detti L, Mari G, Ferguson JE. Colour doppler ultrasonography of the superior mesenteric artery for prenatal ultrasonographic diagnosis of a left sided congenital diaphragmatic hernia. J Ultrasoun Med 2001; 20(6): 689-92.

Charles JH, Peter WD. Congenital diaphragmatic hernia and eventration. In O'Niel JA, Row Ml, Grosfeld JL, Fonkalsrud EW, Goran AG, editors; Pediatric Surgery, Philadelphia, Mosby, 1998, pp 819-832.

Langer JC. Congenital diaphragmatic hernia. Chest Surg Clin N Am 1998; 8(2): 295-314.

Mar Fan MJ, Coulson ML, Siu SK. Adult Incarcerated Right-sided Bochdalek Hernia. Aust NZJ Surg 1999;69:239-41

Gale ME. Bochdalek Hernia: Prevalence and CT Characteristics. Radiology 1985; 156:449-52.

Mullins ME, Stein J, Saini SS, Mueller PR. Prevalence in incidental Bochdalek's Hernia in a large adult population. Am J Roentgenol 2001; 177(2): 363-6.

Gale ME. Bochdalek's hernia: prevalence and CT characteristics. Radiology 1985; 156(2): 449-52.

GN Lone, MA Bhat, SA Syed, T Ahmad & SZ Zaide. Bochdalek Hernia in Adulthood: An Unusual Presentation & Diagnostic Dilemma. Indian J Chest Dis Allied Sci 2001; 43: -227.

Ozturk H, Karnak I, Sakarya MT, Setenkursan S. Late presentation of Bochdalek hernia: Clinical and radiological aspects. Pediatr Pulmonl 2001; 31(4): 306-10.

Surg Laprosc Endosc Percutan Tech 1999; 9(6): 423-5. Zenda T, Kezaki C, Mori Y, Miyamoto S, Nakashima A. Adult right sided Bochdalek hernia facilitated by co existent hepatic hypoplasia. Abdom Imaging 2000; 25(4): 394-6.

AI-Emadi M, Helmy I, Nada MA, Al-Jabbar H. Laparoscopic repair of a Bochdalek hernia in an adult.

Demos TC, Solomon C, Posniak HV, Flisak MJ. Computed Tomography in Traumatic Defects of the Diaphragm. Clinical Imaging 1989;13:62-7.

Kapur B, Thomas S. Adult Bochdalek Hernia - Clinical Features, Management and Results of Treatment. Japanese Journal of Surgery 1991;21:114-9.

Aydm Kurt, Kemal Ridvan Yazicioglu, Ali ipek, Ozgur Tosun, Mehmet Co kun sided . Right diaphragmatic hernia in an adult without history of trauma: unusual CT findings. European Journal of General Medicine, Vol. 1, No. 3, 2004, pp. 55-57.

AI-Emadi M, Helmy I, Nada MA, Al-Jabbar H. Laparoscopic repair of a Bochdalek hernia in an adult. Surg Laprosc Endosc Percutan Tech 1999; 9(6): 423-5.




DOI: http://dx.doi.org/10.7439/ijasr.v1i2.1802

Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM

Refbacks

  • There are currently no refbacks.


Copyright (c) 2015 International Journal of Advances in Scientific Research

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.