Chronic liver herniation through a right Bochdalek hernia with acute onset in adulthood.
Congenital right diaphragmatic hernia of Bochdalek rarely occurs in adults and usually is asymptomatic. We report a right Bochdalek hernia with chronic liver herniation and intestinal malrotation in a 55-year old woman who presented with acute intestinal occlusion. The diagnosis required definitive confirmation by CT scan. With impending strangulation, emergency surgery through a thoracoabdominal approach resulted in an easy hernia repair and reduced the technical difficulties due to the intestinal malrotation.
Fisichella
P M
PM
Divisione Clinicizzata di Chirurgia d'Urgenza e Pronto Soccorso, Azienda Ospedaliera Catanizzaro, Catania. macrof@itsa.ucsf.edu
Perretta
S
S
Di Stefano
A
A
Di Carlo
I
I
La Greca
G
G
Russello
D
D
Latteri
F
F
D000208:Acute Disease; D002908:Chronic Disease; D005260:Female; D006547:Hernia / Q000150:complications; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D008875:Middle Aged