Bochodalek hernia in a young adult: report of a case.
A Bochodalek hernia is rarely seen in adults. An 18-year-old man was referred to our institute with the chief complaint of a sudden onset of left subcostal pain, nausea, and vomiting. A radiograph and a computed tomographic scan of the chest revealed a Bochodalek hernia. Emergency surgery was thus performed. The herniated organs were put back into the peritoneal cavity and the hernial hilum was closed. The postoperative course was uneventful. A routine chest radiograph 1 month before had shown a slight elevation of the left hemidiaphragm and further examination using computed tomography suggested a Bochodalek hernia, but he had merely been followed up since there were no symptoms. As soon as a diagnosis is made, specific repairs should be carried out even if no symptoms are present, to prevent such complications as strangulation or perforation.
Kubota
K
K
Department of Gastrointestinal Surgery, The University of Tokyo, Japan.
Yamaguchi
H
H
Kawahara
M
M
Kaminishi
M
M
D000293:Adolescent; D003937:Diagnosis, Differential; D004630:Emergencies; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D008297:Male; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed