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.
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Rout, S., Foo, F.J., Hayden, J.D. et al. Right-sided Bochdalek hernia obstructing in an adult: case report and review of the literature. Hernia 11, 359–362 (2007). https://doi.org/10.1007/s10029-007-0188-5
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DOI: https://doi.org/10.1007/s10029-007-0188-5