Incarceration of Bochdalek hernia in an adult – case report

Česká verze

Authors: V. Přibáň Jr.; P. Pták
Authors place of work: Chirurgické oddělení Nemocnice České Budějovice, a. s., Česká republika
Published in the journal: Rozhl. Chir., 2024, roč. 103, č. 3, s. 100-103.
Category: Kazuistika
doi: https://doi.org/10.33699/PIS.2024.103.3.100–103

Summary

This paper presents the case of a 32-year-old female patient with acute colon incarceration in the thoracic cavity due to Bochdalek hernia. An asymptomatic right Bochdalek hernia was also discovered, which is a rare finding. The patient underwent laparotomy with reposition of the incarcerated organs and primary closure of the left-sided defect. The stenotic portion of the originally incarcerated colon was resected one year later due to the symptoms of chronic bowel problems. At present, 18 months from the first surgery, the patient’s clinical condition remains good with a positive clinical response to the secondary surgery involving resection of the stenotic colon, and the right Bochdalek hernia remains asymptomatic.

Keywords:

incarceration – diaphragmatic hernia – Bochdalek hernia

Zdroje

Spiridakis KG, Flamourakis ME, Gkionis IG, et al. Right-sided strangulating diaphragmatic hernia in an adult without history of trauma: a case report. J Med Case Rep. 2021;15(1):372. doi:10.1186/s13256-021-02861-y.
Švejdová A, Třeška V, Šafránek J, et al. Morgagni hernia –⁠ case reports. Rozhl Chir. 2020;99(7):323–325. doi:10.33699/ PIS.2020.99.7.323-325.
Brown SR, Horton JD, Trivette E, et al. Bochdalek hernia in the adult: demographics, presentation, and surgical management. Hernia 2011 Feb;15(1):23–30. doi:10.1007/s10029-010-0699-3.
Balzano RF, Fascia G, Sciacqua A, et al. Incidental finding of Bochdalek hernia in an adult: a case report. Acta Biomed. 2023 Oct 17;94(5):e2023246. doi:10.23750/abm. v94i5.15073.
Mullins ME, Stein J, Saini SS, et al. Prevalence of incidental Bochdalek‘s hernia in a large adult population. AJR Am J Roentgenol. 2001 Aug;177(2):363–6. doi:10.2214/ajr.177.2.1770363.
Horton JD, Hofmann LJ, Hetz SP. Presentation and management of Morgagni hernias in adults: a review of 298 cases. Surg Endosc. 2008 Jun;22(6):1413–20. doi:10.1007/s00464-008-9754-x.
Köneş O, Ozan Akıncı O, Bulut S, et al. Repair of diaphragmatic hernias: Retrospective analysis of 70 cases. Ulus Travma Acil Cerrahi Derg. 2023;29(12):1364−1367. doi:10.14744/tjtes.2023.98029.
Alnagar A, Barghash M, Kassem A, et al. Diaphragmatic hernia after radiofrequency ablation of liver tumor case report and literature review. Rozhl Chir. 2022;101(10):508−513. doi:10.33699/PIS.2022.101.10.508-513.
Mullins ME, Saini S. Imaging of incidental Bochdalek hernia. Semin Ultrasound CT MR 2005 Feb;26(1):28–36. doi:10.1053/j. sult.2004.10.006.

MUDr. Vladimír Přibáň
Chirurgické oddělení
Nemocnice České Budějovice, a. s.
e-mail: priban.vladimir@nemcb.cz