Skip to main content
SpringerLink
Log in

Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report

  • Case Report
  • Published:
Irish Journal of Medical Science Aims and scope Submit manuscript

Abstract

Background

A congenital diaphragmatic hernia (Bochdalek’s hernia) rarely presents in adulthood.

Case presentation

We present the case of a 21-year-old woman with thrombocytopenia secondary to hypersplenism due to left-sided (sinistral) portal hypertension. This portal hypertension was caused by strangulation of the spleen within a Bochdalek’s hernia. Subacute gastric volvulus compounded by portal hypertensive gastropathy resulted in her presentation with acute haematemesis.

Conclusions

Congenital diaphragmatic hernias may present in the adult. Their presentation is variable, and they may produce life-threatening complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Dalencourt G, Katlic M (2006) Abdominal compartment syndrome after late repair of Bochdalek hernia. Ann Thorac Surg 82:721–722

    Article  PubMed  Google Scholar 

  2. Perch P, Houck W, DeAnda A (2002) Symptomatic Bochdalek hernia in an octogenarian. Ann Thorac Surg 73:1288–1289

    Article  PubMed  Google Scholar 

  3. Burjanda L, Larrucea I, Ramos F et al (2001) Bochdalek’s hernia in adults. J Clin Gastroenterol 32:155–157

    Article  Google Scholar 

  4. Mullins M, Stein J, Saini S (2001) Prevalence of incidental Bochdalek’s hernia in a large adult population. AJR Am J Roentgenol 177:363–366

    PubMed  CAS  Google Scholar 

  5. Robb B, Reed M (2006) Congenital diaphragmatic hernia presenting as splenic rupture in an adult. Ann Thorac Surg 81:e9–10

    Article  PubMed  Google Scholar 

  6. Shin MS, Mulligan SA, Baxley WA (1987) Bochdalek hernia of diaphragm in the adult. Diagnosis by computerized tomography. Chest 92:1098–1101

    Article  PubMed  CAS  Google Scholar 

  7. Thompson RJ, Taylor MA, McKie LD, Diamond T (2006) Sinistral portal hypertension. Ulster Med J 75(3):175–177

    PubMed  Google Scholar 

  8. Melikoglu M, Colak T, Kavasoglu T (1995) Two unusual cases of wandering spleen requiring splenectomy. Eur J Pediatr Surg 5(1):48–49

    Article  PubMed  CAS  Google Scholar 

  9. Richardson WS, Bolton JS (2002) Laparoscopic repair of congenital diaphragmatic hernia. J Laparoendosc Adv Surg Tech A 12(4):277–80

    Article  PubMed  Google Scholar 

  10. Fingerhut A, Baillet P, Oberlin PH (1984) More on congenital diaphragmatic hernia in the adult [letter]. Int Surg 69:182–183

    PubMed  CAS  Google Scholar 

  11. Silen ML, Canvasser DA, Kurkchubasche AG et al (1995) Video-assisted thoracic surgical repair of a foramen of Bochdalek hernia. Ann Thorac Surg 60:448–450

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We would like to thank our patient for her consent for presenting this case. The authors report no funding source.

Conflict of interest statement

The authors report no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Upper Gastrointestinal Surgery, Royal Victoria Hospital, Belfast, BT12 6BA, Northern Ireland, UK

    R. Kennedy, A. Donaghy, J. Ahmad & W. D. B. Clements

  2. Department of Thoracic Surgery, Royal Victoria Hospital, Belfast, BT12 6BA, Northern Ireland, UK

    K. McManus

  3. 24 Ormonde Park, Belfast, BT10 0LS, Northern Ireland, UK

    R. Kennedy

Authors
  1. R. Kennedy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. A. Donaghy
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Ahmad
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. K. McManus
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. W. D. B. Clements
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Kennedy.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kennedy, R., Donaghy, A., Ahmad, J. et al. Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report. Ir J Med Sci 178, 111–113 (2009). https://doi.org/10.1007/s11845-008-0140-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11845-008-0140-4

Keywords

Search

Navigation