Massive Bochdalek diaphragmatic hernia in adult with hypoplastic lung.
Bochdalek diaphragmatic hernia is generally congenital and rarely diagnosed incidentally in adults. A 21-year-old man presented with a diaphragmatic hernia suspected during routine examination. Chest radiography showed the colon and small intestine herniating into the left hemithorax and the ileocecal appendix in the superior thoracic apertura. We performed a thoracoabdominal incision and the stomach, omentum, colon, and small intestine were retracted back into the abdomen. The diaphragm was repaired with Prolene mesh following adhesiolysis. Two months later, there was no recurrence but no lung expansion. The space was filled with effusion, but the patient had no complaints.
Trakya University Faculty of Medicine, Department of Thoracic Surgery, Edirne, Turkey.
Yekta Altemur
YA
Karamustafaoglu
Trakya University Faculty of Medicine, Department of Thoracic Surgery, Edirne, Turkey.
Yener
Y
Yoruk
Trakya University Faculty of Medicine, Department of Thoracic Surgery, Edirne, Turkey.
Mustafa
M
Kuzucuoglu
Trakya University Faculty of Medicine, Department of Thoracic Surgery, Edirne, Turkey.
Fazli
F
Yanik
D000328:Adult; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008168:Lung / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D011859:Radiography; D016896:Treatment Outcome; D055815:Young Adult
Hernia; Lung; Surgical mesh; diaphragmatic