TY - JOUR
T1 - Congenital right bochdalek hernia presenting as emergency in old age
T2 - A case report
AU - Shenoy, Rajgopal K.
AU - Johri, Goonj
PY - 2013/10
Y1 - 2013/10
N2 - Congenital diaphragmatic hernias (CDHs) are known to present even after the neonatal period. Posterolateral Bochdalek hernias account for the majority of cases. About 85% tend to occur on the left side, while the right side accounts for roughly 13% of the cases. We present a case of a right-sided Bochdalek hernia in an elderly man who was asymptomatic for 60 years of life. The patient presented with vague right upper abdominal discomfort, and ultrasound abdomen revealed herniation of the small bowel into right hemithorax, showing sluggish peristalsis, raising a suspicion of impaired vascularity. He subsequently underwent contrast CT, which confirmed herniation of small bowel loops into right thorax with normal vascularity but dilatation of bowel loops and a possibility of closed-loop obstruction. He was taken up for emergency surgery. The patient had uneventful recovery.
AB - Congenital diaphragmatic hernias (CDHs) are known to present even after the neonatal period. Posterolateral Bochdalek hernias account for the majority of cases. About 85% tend to occur on the left side, while the right side accounts for roughly 13% of the cases. We present a case of a right-sided Bochdalek hernia in an elderly man who was asymptomatic for 60 years of life. The patient presented with vague right upper abdominal discomfort, and ultrasound abdomen revealed herniation of the small bowel into right hemithorax, showing sluggish peristalsis, raising a suspicion of impaired vascularity. He subsequently underwent contrast CT, which confirmed herniation of small bowel loops into right thorax with normal vascularity but dilatation of bowel loops and a possibility of closed-loop obstruction. He was taken up for emergency surgery. The patient had uneventful recovery.
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U2 - 10.1007/s12262-012-0570-0
DO - 10.1007/s12262-012-0570-0
M3 - Article
AN - SCOPUS:84893516968
SN - 0972-2068
VL - 75
SP - 255
EP - 256
JO - Indian Journal of Surgery
JF - Indian Journal of Surgery
IS - 1 SUPPL.
ER -