Adult presentation of congenital Bochdalek hernia: a rare case report

Akash Gupta; Surya Prakash; Vijay Sharma; Vyom Sharan; Ashok Mittal; Neha Bharti; Anubhav Singh; Anmol Gupta; Saziv  Khan; Satyam; Abhijit Saroj; Ayushi Singh

doi:10.18203/2349-2902.isj20262478

Authors

Akash Gupta Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Surya Prakash Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Vijay Sharma Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Vyom Sharan Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Ashok Mittal Department of Anaesthesia, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Neha Bharti Department of Anaesthesia, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Anubhav Singh Department of Anaesthesia, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Anmol Gupta Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Saziv Khan Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Satyam Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Abhijit Saroj Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India
Ayushi Singh Department of General Surgery, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20262478

Keywords:

Bochdalek hernia, Congenital diaphragmatic hernia, Adult presentation, Diaphragmatic defect, Rare case

Abstract

Bochdalek hernia is a congenital posterolateral diaphragmatic defect that typically presents in neonates with respiratory distress. Adult presentation is extremely rare and often diagnosed incidentally or when complications occur. We report a case of a 68-year-old male who presented with acute abdominal pain and vomiting. Imaging revealed a left posterolateral diaphragmatic defect with herniation of stomach, spleen and transverse colon into the thoracic cavity. The patient underwent successful surgical repair with reduction of herniated viscera including spleen for which splenectomy done with closure of the diaphragmatic defect. This case highlights the importance of considering congenital diaphragmatic hernia in adults presenting with unexplained thoraco-abdominal symptoms.

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