title: Bochdalek hernia in a symptomatic adult.
abstract: Bochdalek hernias usually present in neonates with respiratory failure, need to be operated early and are associated with a high mortality. We describe an adult patient who came to the emergency department with nonspecific recurrent chest and abdominal pain. A computed tomography scan showed a large posterolateral diaphragmatic defect and an oversized spleen. The hernia was repaired by a thoracoabdominal approach and Gore-Tex patch. Congenital diaphragmatic hernias are rare and are associated with nonspecific symptoms in adults. With suspicious chest or abdominal radiographs, a computed tomography scan is essential to plan an individualized surgical intervention.
authors.affiliation: Division of Thoracic Surgery, McGill University Health Center, Montreal General Hospital, Montreal, Quebec, Canada.
authors.forename: Anique
authors.initials: A
authors.lastname: Herling
authors.affiliation: Division of Thoracic Surgery, McGill University Health Center, Montreal General Hospital, Montreal, Quebec, Canada.
authors.forename: Fahd
authors.initials: F
authors.lastname: Makhdom
authors.affiliation: Division of Thoracic Surgery, McGill University Health Center, Montreal General Hospital, Montreal, Quebec, Canada.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Al-Shehri
authors.affiliation: Division of Thoracic Surgery, McGill University Health Center, Montreal General Hospital, Montreal, Quebec, Canada. Electronic address: david.mulder@muhc.mcgill.ca.
authors.forename: David S
authors.initials: DS
authors.lastname: Mulder
mesh_terms: D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D008297:Male; D011859:Radiography; D055815:Young Adult