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Surgery Today

, Volume 32, Issue 9, pp 812–815 | Cite as

Acute Respiratory Failure Caused by an Incarcerated Right-Sided Adult Bochdalek Hernia: Report of a Case

  • Akishige Kanazawa
  • Yukio Yoshioka
  • Osami Inoi
  • Junya Murase
  • Hiroaki Kinoshita

Abstract.

We herein report the case of a 63-year-old woman with a right-sided Bochdalek hernia. She was admitted to our hospital as an emergency patient with dyspnea and abdominal pain. A blood gas analysis showed hypoxia. A chest X-ray and computed tomography revealed a remarkable right diaphragm elevation caused by a herniation of the colon and right kidney. Under a thoracolaparotomy, a herniation of the strangulated colon and right kidney was recognized in the site of the foramen of Bochdalek, and a direct closure of the hernia opening was thus performed after repairing the location of the colon and right kidney. A right-sided Bochdalek hernia in adults is a rare clinical entity and there have been fewer than ten such cases so far reported in the world literature. This case highlights the need for a prompt diagnosis and appropriate surgical intervention.

Key words Adult hernia Bochdalek hernia Respiratory failure 

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Copyright information

© Springer-Verlag 2002

Authors and Affiliations

  • Akishige Kanazawa
    • 1
  • Yukio Yoshioka
    • 1
  • Osami Inoi
    • 1
  • Junya Murase
    • 2
  • Hiroaki Kinoshita
    • 2
  1. 1. Department of Surgery, Asakayama General Hospital, Osaka, JapanJP
  2. 2. Second Department of Surgery, Osaka City University Medical School, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, JapanJP

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