Laparoscopic repair of massive Bochdalek hernia


  • Zara Summers Department of Surgery, Gold Coast University Hospital, Australia
  • Eshwarshanker Jeyarajan Department of Surgery, Gold Coast University Hospital, Australia
  • Philip Townend Department of Surgery, Gold Coast University Hospital, Australia
  • David Parker Department of Surgery, Gold Coast University Hospital, Australia



Bochdalek, Diaphragmatic hernias, Hernia


Bochdalek hernias are a rare diaphragmatic hernia, usually diagnosed in childhood. We report a case of a large Bochdalek hernia containing omentum, stomach, left colon and some small bowel (jejunum) including mesentery, the superior pole of the left kidney, spleen and tail of pancreas diagnosed in adulthood. Our patient underwent a laparoscopic repair of this massive hernia with a composite mesh with an excellent post-operative outcome.

Author Biography

Zara Summers, Department of Surgery, Gold Coast University Hospital, Australia

Surgical Registrar, Department of Surgery


Schumpelick V, Steinau G, Schlüper I, Prescher A. Surgical embryology and anatomy of the diaphragm with surgical applications. Surg Clin North Am. 2000;80(1):213-39.

Brown SR, Horton JD, Trivette E, Hofmann LJ, Johnson JM. Bochdalek hernia in the adult: demographics, presentation, and surgical management. Hernia. 2011;15(1):23-30.

Machado NO. Laparoscopic Repair of Bochdalek Diaphragmatic Hernia in Adults. N Am J Med Sci. 2016;8(2):65-74.

Iken M, Mai A, Choukrad F, Haloua M, Lamrani MYA, Boubbou M, et al. Strangulated Bochdalek's diaphragmatic hernia: a rare cause of acute intestinal obstruction. Pan Afr Med J. 2019;34:90.

Sarac M, Bakal U, Tartar T, Canpolat S, Kara A, Kazez A. Bochdalek hernia and intrathoracic ectopic kidney: Presentation of two case reports and review of the literature. Niger J Clin Pract. 2018;21(5):681-6.

Lirici MM, Bongarzoni V, Paolantonio P, Leggeri T, Pirillo SP, Romeo V. Minimally invasive management of rare giant Bochdalek hernia in adults. Minim Invasive Ther Allied Technol. 2020;29(5):304-9.

Halle-Smith JM, Pande R, Griffiths EA. Urgent surgical repair of symptomatic Bochdalek hernia containing an intrathoracic kidney. Ann R Coll Surg Engl. 2021;103(1):10-2.

Rice GD. Laparoscopic repair of Bochdalek hernia in an adult. ANZ J Surg. 2001;71(7):443-5.

Dente M, Bagarani M. Laparoscopic dual mesh repair of a diaphragmatic hernia of Bochdalek in a symptomatic elderly patient. Updates Surg. 2010;62(2):125-8.

Thomas S, Kapur B. Adult Bochdalek hernia--clinical features, management and results of treatment. Jpn J Surg. 1991;21(1):114-9.

Hamid KS, Rai SS, Rodriguez JA. Symptomatic Bochdalek hernia in an adult. JSLS. 2010;14(2):279-81.






Case Reports