BACKGROUND A Bochdalek hernia(BH)is a congenital diaphragmatic hernia that often develops in the neonatal period.BH typically occurs on the left side of the diaphragm.A right-sided BH in an adult is rare.CASE SUMMARY ...BACKGROUND A Bochdalek hernia(BH)is a congenital diaphragmatic hernia that often develops in the neonatal period.BH typically occurs on the left side of the diaphragm.A right-sided BH in an adult is rare.CASE SUMMARY A 45-year-old man was referred to our hospital because of an abnormal shadow seen on chest radiography during a medical check-up.A chest radiograph showed elevation of the right hemidiaphragm.Computed tomography showed prolapse of multiple intraabdominal organs into the right thoracic cavity,corresponding to a right-sided BH.The herniated contents included the stomach,transverse colon,and left lobe of the liver.The left lobe of the liver was enlarged,particularly the medial segment.Laparoscopic surgery was performed.However,the left lobe of the liver was completely trapped in the thoracic cavity.Therefore,thoracoscopic manipulation had to be performed to return the liver to the abdominal cavity.The hernia was repaired with interrupted nonabsorbable sutures and reinforced with mesh.CONCLUSION Combined laparoscopic and thoracoscopic surgery was successfully performed for right-sided BH with massive liver prolapse and abnormal liver morphology.展开更多
An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-p...An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia.展开更多
Congenital cupola diaphragmatic hernia (CDH) is a congenital embryopathy which is defined by the absence of development of all or part of a diaphragmatic cupola. We report a case of posterolateral diaphragmatic hernia...Congenital cupola diaphragmatic hernia (CDH) is a congenital embryopathy which is defined by the absence of development of all or part of a diaphragmatic cupola. We report a case of posterolateral diaphragmatic hernia called right Bochdalek hernia in a three-day-old newborn hospitalized in the neonatology department of the Center Hospitalier Universitaire Pédiatrique de Bangui (CHUPB) for respiratory discomfort, vomiting and fever. Unsuccessful treatment for neonatal staphylococcal infection diagnosis of diaphragmatic hernia was suggested and confirmed on day 18 of life by computed tomography and intraoperatively.展开更多
<span style="font-family:Verdana;">Diaphragmatic hernias may be acquired or congenital. Among congenital </span><span style="font-family:;" "=""><span style=&quo...<span style="font-family:Verdana;">Diaphragmatic hernias may be acquired or congenital. Among congenital </span><span style="font-family:;" "=""><span style="font-family:Verdana;">hernias, the most common is Bochdalek hernia and eight out of ten Bochdalek hernias occur on the left side. They are usually diagnosed in the paediatric age group, and it is exceedingly rare for the diagnosis to be established in adulthood. Renal ectopy associated with a Bochdalek hernia is extremely rare, and </span><span style="font-family:Verdana;">very few cases are reported worldwide. We are reporting a case of a</span><span style="font-family:Verdana;"> 73-year-old </span><span style="font-family:Verdana;">male patient with a right-sided Bochdalek hernia and renal ectopy. In this</span> <span style="font-family:Verdana;">case, promp diagnosis and treatment could help to reduce the high risk of</span><span style="font-family:Verdana;"> death in this kind of patients.</span></span>展开更多
文摘BACKGROUND A Bochdalek hernia(BH)is a congenital diaphragmatic hernia that often develops in the neonatal period.BH typically occurs on the left side of the diaphragm.A right-sided BH in an adult is rare.CASE SUMMARY A 45-year-old man was referred to our hospital because of an abnormal shadow seen on chest radiography during a medical check-up.A chest radiograph showed elevation of the right hemidiaphragm.Computed tomography showed prolapse of multiple intraabdominal organs into the right thoracic cavity,corresponding to a right-sided BH.The herniated contents included the stomach,transverse colon,and left lobe of the liver.The left lobe of the liver was enlarged,particularly the medial segment.Laparoscopic surgery was performed.However,the left lobe of the liver was completely trapped in the thoracic cavity.Therefore,thoracoscopic manipulation had to be performed to return the liver to the abdominal cavity.The hernia was repaired with interrupted nonabsorbable sutures and reinforced with mesh.CONCLUSION Combined laparoscopic and thoracoscopic surgery was successfully performed for right-sided BH with massive liver prolapse and abnormal liver morphology.
文摘An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia.
文摘Congenital cupola diaphragmatic hernia (CDH) is a congenital embryopathy which is defined by the absence of development of all or part of a diaphragmatic cupola. We report a case of posterolateral diaphragmatic hernia called right Bochdalek hernia in a three-day-old newborn hospitalized in the neonatology department of the Center Hospitalier Universitaire Pédiatrique de Bangui (CHUPB) for respiratory discomfort, vomiting and fever. Unsuccessful treatment for neonatal staphylococcal infection diagnosis of diaphragmatic hernia was suggested and confirmed on day 18 of life by computed tomography and intraoperatively.
文摘<span style="font-family:Verdana;">Diaphragmatic hernias may be acquired or congenital. Among congenital </span><span style="font-family:;" "=""><span style="font-family:Verdana;">hernias, the most common is Bochdalek hernia and eight out of ten Bochdalek hernias occur on the left side. They are usually diagnosed in the paediatric age group, and it is exceedingly rare for the diagnosis to be established in adulthood. Renal ectopy associated with a Bochdalek hernia is extremely rare, and </span><span style="font-family:Verdana;">very few cases are reported worldwide. We are reporting a case of a</span><span style="font-family:Verdana;"> 73-year-old </span><span style="font-family:Verdana;">male patient with a right-sided Bochdalek hernia and renal ectopy. In this</span> <span style="font-family:Verdana;">case, promp diagnosis and treatment could help to reduce the high risk of</span><span style="font-family:Verdana;"> death in this kind of patients.</span></span>
