Complicated Right-sided Bochdalek Hernia in an Adult

Abstract

Bochdalek hernias on the right side of the diaphragm are very rarely diagnosed in adults. We report a case of a 52-year-old female patient, who presented to the emergency department with acute intestinal obstruction. Plain and cross-sectional imaging identified a large right-sided Bochdalek hernia containing small bowel loops and the right colon.

A laparoscopic approach was performed. The herniated intestinal loops and the right colon were reduced into the abdominal cavity. The diaphragmatic defect was closed using clips with reinforcement by a prosthetic polypropylene mesh. A mini median laparotomy was performed to ensure the viability of the bowel and a few stitches were inserted on superficial lesions of the serosa.

The recovery was uneventful and the patient was discharged from the hospital 6 days after admission. Nine months later the patient is doing well.

Additional information

Notes on contributors

N. Kotzampassakis

N. kotzampassakis Department of visceral Surgery Centre Hospitalier Universitaire de Charleroi Boulevard Paul Janson 6000 Charleroi, Belgium Tel.: ++32/474 20 24 42 E-mail: [email protected]