title: Complicated right-sided Bochdalek hernia in an adult.
abstract: Bochdalek hernias on the right side of the diaphragm are very rarely diagnosed in adults. We report a case of a 52-year-old female patient, who presented to the emergency department with acute intestinal obstruction. Plain and cross-sectional imaging identified a large right-sided Bochdalek hernia containing small bowel loops and the right colon. A laparoscopic approach was performed. The herniated intestinal loops and the right colon were reduced into the abdominal cavity. The diaphragmatic defect was closed using clips with reinforcement by a prosthetic polypropylene mesh. A mini median laparotomy was performed to ensure the viability of the bowel and a few stitches were inserted on superficial lesions of the serosa. The recovery was uneventful and the patient was discharged from the hospital 6 days after admission. Nine months later the patient is doing well.
authors.affiliation: Department of Abdominal Surgery, University Hospital of Charleroi, Charleroi, Belgium.
authors.forename: A C
authors.initials: AC
authors.lastname: Agrafiotis
authors.forename: N
authors.initials: N
authors.lastname: Kotzampassakis
authors.forename: W
authors.initials: W
authors.lastname: Boudaka
mesh_terms: D000208:Acute Disease; D044682:Colon, Ascending / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed