Congenital right bochdalek hernia presenting as emergency in old age

A case report

Rajgopal K. Shenoy, Goonj Johri

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)255-256
Number of pages2
JournalIndian Journal of Surgery
Volume75
Issue number1 SUPPL.
DOIs
Publication statusPublished - 10-2013

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Emergencies
Peristalsis
Abdomen
Dilatation
Thorax
Congenital Diaphragmatic Hernias

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "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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Congenital right bochdalek hernia presenting as emergency in old age : A case report. / Shenoy, Rajgopal K.; Johri, Goonj.

In: Indian Journal of Surgery, Vol. 75, No. 1 SUPPL., 10.2013, p. 255-256.

Research output: Contribution to journalArticle

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