[Intestinal incarceration due to a Bochdalek's hernia].
A 67-year-old male presented with abdominal pain followed by respiratory distress. Imaging revealed a right-sided Bochdalek's hernia. At thoracotomy two days later, an incarcerated small bowel segment was removed, with a protracted post-operative course. In adults, a Bochdalek's hernia is rare and usually asymptomatic. However, when symptoms do occur, incarceration of the intestinal contents is frequent and accompanied by high mortality. The severely protracted course after delayed treatment of a symptomatic Bochdalek's hernia described here illustrates the importance of early recognition and surgical intervention.
van Deurzen
D F
DF
Afd. Heelkunde, Sint Franciscus Gasthuis, Kleiweg 500, 3045 PM Rotterdam. dvandeurzen@zonnet.nl
Mannaerts
G H
GH
Rietveld
A P
AP
Wittens
C H
CH
D015746:Abdominal Pain / Q000209:etiology; D000368:Aged; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome