title: [Elderly Bochdalek hernia found out by intestinal obstruction].
abstract: A 78-year-old man, who had been pointed out elevation of the diaphragm by chest radiography, visited local physician complaining of abdominal pain and vomiting. He was referred to our hospital and was diagnosed as intestinal obstruction. The patient had neither respiratory symptoms nor findings of peritonitis. The radiography revealed intestinal gas with neveau formation in the left thorax. The computed tomography showed dilatation of the stomach and small intestine, and a diaphragmatic hernia was suspected. Although conservative treatment was started, radiographic and laboratory findings got worse on the 5th hospital day. The patient underwent surgery for a left diaphragmatic hernia with the intestinal obstruction. Diagnosis of Bochdalek hernia with hernia sac was established. The content of hernia was the perforated small intestine. Postoperative course was almost uneventful, and the patient was discharged on the 35th postoperative day without pyothorax. In treatment of adult Bochdalek hernia, early surgery is important because patients with incarceration or perforation often experience severe postoperative complication.
authors: Department of Surgery, Aomori Rosai Hospital, Noshiro, Japan.
authors: Takehiro
authors: T
authors: Sakai
authors: Yuta
authors: Y
authors: Ogura
authors: Yoshitsugu
authors: Y
authors: Yamada
authors: Hiroyuki
authors: H
authors: Kodama
authors: Daisuke
authors: D
authors: Kimura
authors: Ryo
authors: R
authors: Hatanaka
authors: Takao
authors: T
authors: Tsushima
authors: Ikuo
authors: I
authors: Fukuda
mesh_terms: D000368:Aged; D006548:Hernia, Diaphragmatic / Q000150:complications* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications*; D008297:Male