title: Nontraumatic massive right-sided Bochdalek hernia in an adult: an unusual presentation.
abstract: Diaphragmatic hernias in adults usually pose a diagnostic challenge; the presentations are varied and range from acute abdominal pain with features of gut obstruction, pleuritic chest pain, breathlessness, to a pregnant woman with pain abdomen. The usual cause in adults is posttraumatic. Because of varied presentations, the diagnosis is often delayed. We present a case of a young woman who presented with sudden-onset breathlessness with similar episodes in the past and no history of trauma, who proved to be having a right-sided diaphragmatic hernia. This case is reported not only because of rarity of nontraumatic right-sided Bochdalek hernias in adults, but also because of peculiar presentation and history.
authors.affiliation: Department of Medicine SKIMS, J and K, India.
authors.forename: Fayaz A
authors.initials: FA
authors.lastname: Sofi
authors.forename: Sheikh Hilal
authors.initials: SH
authors.lastname: Ahmed
authors.forename: Majid A
authors.initials: MA
authors.lastname: Dar
authors.forename: Dhobi G
authors.initials: DG
authors.lastname: Nabhi
authors.forename: Showkat
authors.initials: S
authors.lastname: Mufti
authors.forename: Mohammad Akbar
authors.initials: MA
authors.lastname: Bhat
authors.forename: Parvez Nazir
authors.initials: PN
authors.lastname: Tabassum
mesh_terms: D003964:Diaphragm / Q000000981:diagnostic imaging / Q000473:pathology; D005260:Female; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D014057:Tomography, X-Ray Computed; D055815:Young Adult