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Acute intestinal obstruction: A rare presentation of left sided adult congenital diaphragmatic hernia

  • Case Report
  • Published:
Hellenic Journal of Surgery

Abstract

A diaphragmatic hernia is defined as a communication between the abdominal and thoracic cavities, with or without abdominal contents in the thorax. It is usually diagnosed among newborns, but late presentation of congenital diaphragmatic hernias has also been reported with an incidence of 5 to 25%. Intestinal obstruction due to obstructed diaphragmatic hernia is very rare and represents a considerable diagnostic challenge. Herein, we report the case of an obstructed diaphragmatic Bochdalek-type hernia complicated by acute intestinal obstruction.

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References

  1. Nitecki S, Bar-Maor JA. Late presentation of Bochdalek hernia: our experience and review of the literature. Isr J Med Sci 1992;28:711–4.

    CAS  PubMed  Google Scholar 

  2. Ahrend TR, Thompson BW. Hernia of the foramen of Bochdalek in the adult. Am J Surgery 1971;122:612–5.

    Article  CAS  Google Scholar 

  3. Bétrémieux P, Dabadie A, Chapuis M, et al. Late presenting Bochdalek hernia containing colon: misdiagnosis risk. Eur J Pediatr Surg 1995;5:113–5.

    Article  PubMed  Google Scholar 

  4. Rawat JD, Kureel SN, Tendon RK, Tendon S, Wakhar AK. Obstructed diaphragmatic hernia. J Indian Assoc Pediatr Surg 1999;4:34–8.

    Google Scholar 

  5. Mullins ME, Stein J, Saini SS, Mueller PR. Prevalence of incidental Bochdalek’s hernia in a large adult population. AJR AmJ Roentgenol 2001;177:363–6.

    Article  CAS  Google Scholar 

  6. Kapur B, Thomas S. Adult Bochdalek Hernia-Clinical Features, Management and Results of Treatment. Jpn J Surg 1993;22:114–9.

    Google Scholar 

  7. Eren S, Kantarci M, Okur A. Imaging of diaphragmatic rupture after trauma. Clin Radiol 2006;61:467–77.

    Article  CAS  PubMed  Google Scholar 

  8. Wilbur AC, Gorodetsky A, Hibbeln JF. Imaging findings of adult Bochdalek hernias. Clin Imaging 1994;18:224–9.

    Article  CAS  PubMed  Google Scholar 

  9. Eren S, Ciris F. Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol 2005;54:448–59.

    Article  PubMed  Google Scholar 

  10. Shanmuganathan K, Mirvis SE, White CS, Pomerantz SM. MR imaging evaluation of hemidiaphragms in acute blunt trauma: experience with 16 patients. AJR Am J Roentgenol 1996;167:397–402.

    Article  CAS  PubMed  Google Scholar 

  11. Mullins ME, Saini S. Imaging of incidental Bochdalek hernia. Semin Ultrasound CTMR 2005;26:28–36.

    Article  Google Scholar 

  12. Fingerhut A, Baillet P, Oberlin P, et al. More on congenital diaphragmatic hernia in the adult. Int Surg 1984, 69:182–3.

    CAS  PubMed  Google Scholar 

  13. Ray U, Maity B, SenGupta TK, et al. Laparoscopic repair of late presenting congenital Bochdalek diaphragmatic hernia. J Indian Med Assoc 2011;109:435–6.

    PubMed  Google Scholar 

  14. Alimoglu O, Eryilmaz R, Sahin M, Ozsoy MS. Delayed traumatic diaphragmatic hernias presenting with strangulation. Hernia 2004;8:393–6.

    Article  CAS  PubMed  Google Scholar 

  15. Chai Y, Zhang G, Shen G. Adult Bochdalek hernia complicated with a perforated colon. J Thorac Cardiovasc Surg 2005;130:1729–30.

    Article  PubMed  Google Scholar 

  16. Perch P, Houck WV, DeAnda A,. Symptomatic bochdalek hernia in an octogenarian. Ann Thorac Surg 2002;73:1288–9.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Burdwan Medical College, Burdwan, West Bengal, India

    Shamita Chatterjee

  2. 7 Bepin Pal Road, Kolkata, 700026, India

    Arnab Mitra

Authors
  1. Shamita Chatterjee
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  2. Arnab Mitra
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  3. Suman Sarkar
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  4. Sandeep Prasad
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Corresponding author

Correspondence to Shamita Chatterjee.

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Chatterjee, S., Mitra, A., Sarkar, S. et al. Acute intestinal obstruction: A rare presentation of left sided adult congenital diaphragmatic hernia. Hellenic J Surg 87, 427–429 (2015). https://doi.org/10.1007/s13126-015-0251-0

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  • DOI: https://doi.org/10.1007/s13126-015-0251-0

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