title: Laparoscopic repair of Bochdalek hernia in an adult.
abstract: Diaphragmatic hernias of the Bochdalek type are rare in adults. The diagnosis may be made with radiography of the chest in an asymptomatic person or in a person with respiratory and/or gastrointestinal symptoms. It has been mistaken for pleural effusion, empyema, lung cysts, and pneumothorax. A 38-year-old woman presented with epigastric pain and a persistent cough of 2 months' duration. A chest radiograph showed bowel loops in the left side of the chest. On laparoscopy, two defects, measuring 10 and 4 cm, respectively, were seen in the left hemidiaphragm. The herniated fundus of the stomach was reduced and the defect repaired with Gore-Tex mesh (W. L. Gore & Associates, Inc., Flagstaff, AZ, U.S.A.). The patient had an uneventful recovery. Laparoscopic repair of the rare Bochdalek hernia is feasible.
authors.affiliation: Department of Surgery, Hamad Medical Corporation, Doha, Qatar.
authors.forename: M
authors.initials: M
authors.lastname: Al-Emadi
authors.forename: I
authors.initials: I
authors.lastname: Helmy
authors.forename: M A
authors.initials: MA
authors.lastname: Nada
authors.forename: H
authors.initials: H
authors.lastname: Al-Jaber
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000601:surgery; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011859:Radiography; D013526:Surgical Mesh; D016896:Treatment Outcome