title: An 81-year-old gentleman with symptomatic Bochdalek hernia.
abstract: An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia.
authors.affiliation: Mohammed Zak Rajput, Piero Marco Fisichella, Swallowing Center, Department of Surgery, Loyola University Medical Center, Maywood, IL 60153, United States.
authors.forename: Mohammed Zak
authors.initials: MZ
authors.lastname: Rajput
authors.forename: Piero Marco
authors.initials: PM
authors.lastname: Fisichella
keywords: Bochdalek hernia; Diaphragmatic hernia; Diaphragmatic hernia repair; Paraesophageal hernia; Polycystic kidney disease
references.citation: J Med Case Rep. 2010 Nov 17;4:366
references.pmid: 21083878
references.citation: AJR Am J Roentgenol. 2001 Aug;177(2):363-6
references.pmid: 11461863
references.citation: Semin Ultrasound CT MR. 2005 Feb;26(1):28-36
references.pmid: 15771263
references.citation: J Thorac Imaging. 2009 Feb;24(1):17-22
references.pmid: 19242298
references.citation: Hernia. 2011 Feb;15(1):23-30
references.pmid: 20614149
references.citation: Thorac Surg Clin. 2009 Nov;19(4):469-72
references.pmid: 20112629
references.citation: J Laparoendosc Adv Surg Tech A. 2006 Feb;16(1):54-8
references.pmid: 16494550
references.citation: JSLS. 2010 Apr-Jun;14(2):279-81
references.pmid: 20932385