World J Surg Surg Res | Volume 6, Issue 1 | Case Report | Open Access

Giant Bochdalek Hernia in an Adult: A Case Report

Lattanzio F^1* and Lionetti I²

¹Department of General Surgery, Dimiccoli Hospital Barletta, Italy
²Department of Radiology, Dimiccoli Hospital Barletta, Italy

^*Correspondance to: Francesco Lattanzio 

Abstract

Bochdalek hernia is one of the most common types of diaphragmatic hernia. It appears frequently in infants but rarely in adults. We present the case of a 30-year-old male patient with giant left-sided congenital posterolateral diaphragmatic hernia (Bochdalek hernia) with progressive dyspnea and abdominal symptoms due to incarceration of the stomach, spleen, pancreas, small bowel and transverse colon, but without a history of trauma. The diagnosis of BH was made based on chest X-ray and CT-scan. A laparotomy was performed to reduce in abdominal cavity a herniation of the strangulated viscera preceded by phrenotomy with defect correction and a direct closure of the defect opening was finally performed by dual mesh interposition. The surgical approach for the resolution of this pathology is variable and it depends on the presence and severity of visceral complications (incarceration, strangulation, hemorrhage and visceral perforation in the chest cavity) and experience of the surgeon.

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Citation:

Lattanzio F, Lionetti I. Giant Bochdalek Hernia in an Adult: A Case Report. World J Surg Surgical Res. 2023; 6: 1443..