title: Chronic liver herniation through a right Bochdalek hernia with acute onset in adulthood.
abstract: 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.
authors.affiliation: Divisione Clinicizzata di Chirurgia d'Urgenza e Pronto Soccorso, Azienda Ospedaliera Catanizzaro, Catania. macrof@itsa.ucsf.edu
authors.forename: P M
authors.initials: PM
authors.lastname: Fisichella
authors.forename: S
authors.initials: S
authors.lastname: Perretta
authors.forename: A
authors.initials: A
authors.lastname: Di Stefano
authors.forename: I
authors.initials: I
authors.lastname: Di Carlo
authors.forename: G
authors.initials: G
authors.lastname: La Greca
authors.forename: D
authors.initials: D
authors.lastname: Russello
authors.forename: F
authors.initials: F
authors.lastname: Latteri
mesh_terms: 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