title: [Repair of a huge Bochdalek hernia by direct suture and mesh reconstruction].
abstract: A 72-year-old man presented with complaints of sudden abdominal pain and vomiting. After a thorough examination, the patient was diagnosed with a left-sided Bochdalek hernia with strangulation of the stomach and spleen. The impaction was cleared by drainage of the stomach contents by a nasogastric tube;then, surgical repair through thoracic approach was performed. The herinia port size was large, and the defect of diaphragm was successfully repaired by both direct closure and mesh reconstruction.
authors.affiliation: Department of Surgery, Okayama Rosai Hospital, Okayama, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Sato
authors.forename: Kazuki
authors.initials: K
authors.lastname: Yamashita
authors.forename: Naohisa
authors.initials: N
authors.lastname: Waki
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawai
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ishizaki
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Nishi
mesh_terms: D000368:Aged; D065630:Hernias, Diaphragmatic, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed; D014945:Wound Healing