[Right Bochdalek hernia and liver situs solitus in an adult. A clinical case].
The Bochdaleck's hernia is an anatomical defect of posterolateral region of the diaphragm that lets abdominal structures go inside the thorax. It has an incidence of 1 in 2000 to 5000 of newborn alive, without difference of sex. This defect is very common in the neonatal period and rare in adult age. We present a case of a male patient 32 years old, with the definitive diagnosis of Bochdalek hernia. The diagnosis was made by radiographic findings, with a few digestive symptoms. Confirmatory diagnosis was made by axial tomography computerized that found part of bowel in right hemithorax and pulmonary hypoplasy, with liver in situs solitus. The patient received medical treated only. The patient did not receive surgical treatment because it is supposed that this kind of treatment has more risks than benefits.
González-Pérez
Brian
B
Médico residente del primer año, Unidad de Medicina Familiar 77, Instituto Mexicano del Seguro Social, Ciudad Madero, Tamaulipas, Mexico. koga_23@hotmail.com
Durán-Bravo
Luis Gabriel
LG
Alvarez-González
María de los Angeles
Mde L
Prieto-Méndez
Miguel Angel
MA
Barrientos-Guerrero
Carlos Eduardo
CE
Ricardi-Constantino
Nicanor
N
D000328:Adult; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D006801:Humans; D008099:Liver / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008107:Liver Diseases / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging; D008297:Male; D012857:Situs Inversus / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D014057:Tomography, X-Ray Computed