Hernia

, Volume 11, Issue 4, pp 359–362 | Cite as

Right-sided Bochdalek hernia obstructing in an adult: case report and review of the literature

  • S. Rout
  • F. J. Foo
  • J. D. Hayden
  • A. Guthrie
  • Andrew M. Smith
Case Report

Abstract

Bochdalek hernias on the right side of the diaphragm are very rarely diagnosed in adults. We review a case of a 35-year-old female who presented acutely with intestinal obstruction. Plain and cross-sectional imaging identified a large right-sided Bochdalek hernia, containing colon, causing a mechanical obstruction and, surprisingly, concurrent appendicitis. The patient underwent an emergency laparotomy. At surgery the colon was reduced and was viable. The diaphragmatic defect was repaired using non-absorbable sutures and an appendicectomy was then performed for purulent appendicitis. She made an uneventful recovery and remains well at 9-month follow-up. We discuss what we believe to be the first reported case of an obstructed right-sided Bochdalek’s hernia associated with appendicitis in an adult and review the published literature on this rare condition.

Keywords

Bochdalek hernia Colonic obstruction Diaphragmatic hernia Appendicitis 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • S. Rout
    • 1
  • F. J. Foo
    • 1
  • J. D. Hayden
    • 1
  • A. Guthrie
    • 2
  • Andrew M. Smith
    • 1
    • 3
  1. 1.Department of SurgerySt. James University HospitalLeedsUK
  2. 2.Department of RadiologySt. James University HospitalLeedsUK
  3. 3.St. James University HospitalLeedsUK

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