Bochdalek hernia in an adult.
Congenital diaphragmatic Bochdalek hernia is rarely seen in adults. It may present with jejunal perforation and strangulation. In a 28-year-old man presenting with nausea and vomiting, absence of respiratory murmur at auscultation, loops of small intestine with air-fluid levels were radiographically visualized in the left hemithorax. Surgery revealed 1.5-m of herniated jejunum with three perforations and necrotic areas, 40 cm of which was resected. The patient remains well ten years postoperatively.
Prieto Nieto
I
I
Department of Surgery, Hospital La Paz, Madrid, Spain.
Perez Robledo
J P
JP
Hardisson
D
D
Granado de la Fuente
A
A
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D003964:Diaphragm / Q000002:abnormalities*; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D007813:Laparotomy / Q000379:methods; D008297:Male; D010538:Peritonitis / Q000209:etiology; D011859:Radiography