Acute respiratory failure caused by an incarcerated right-sided adult bochdalek hernia: report of a case.
We herein report the case of a 63-year-old woman with a right-sided Bochdalek hernia. She was admitted to our hospital as an emergency patient with dyspnea and abdominal pain. A blood gas analysis showed hypoxia. A chest X-ray and computed tomography revealed a remarkable right diaphragm elevation caused by a herniation of the colon and right kidney. Under a thoracolaparotomy, a herniation of the strangulated colon and right kidney was recognized in the site of the foramen of Bochdalek, and a direct closure of the hernia opening was thus performed after repairing the location of the colon and right kidney. A right-sided Bochdalek hernia in adults is a rare clinical entity and there have been fewer than ten such cases so far reported in the world literature. This case highlights the need for a prompt diagnosis and appropriate surgical intervention.
Second Department of Surgery, Osaka City University Medical School, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan.
Akishige
A
Kanazawa
Yukio
Y
Yoshioka
Osami
O
Inoi
Junya
J
Murase
Hiroaki
H
Kinoshita
D000208:Acute Disease; D003106:Colon; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007668:Kidney; D008875:Middle Aged; D011859:Radiography; D012131:Respiratory Insufficiency / Q000209:etiology*