Bochdalek Hernia in an Adult Presenting as Hydropneumothorax due to Gastric Volvulus Perforation: A Case Report
Correspondence Address :
Dr. Ramakrishna Narayanan,
14, SBI Colony, Tarbund Sikh Village, Secunderabad, Telangana, India.
E-mail: drrkris@gmail.com
Congenital Diaphragmatic Hernia (CDH) occurs due to herniation of abdominal contents into the thorax through a defect in the diaphragm caused by incompletely fused pleuro-peritoneal folds. It is classified into three types, of which Bochdalek hernia is the most common type. Here the authors report a case of a 24-year-old male patient who presented with sudden onset of abdominal and chest pain with multiple episodes of non bilious vomiting since two days. Computerised Tomography (CT) suggested the possibility of a Bochdalek hernia with mesentroaxial gastric volvulus and intrathoracic gastric perforation causing hydropneumothorax which was confirmed on surgery. The gastric perforation was closed and the herniated abdominal contents were reduced and the diaphragmatic rent was repaired. His postoperative recovery was unremarkable. Bochdalek hernias may infrequently remain asymptomatic till adulthood, where they may manifest suddenly with serious chest or abdominal complaints. Computerised tomography is a rapid imaging tool that can provide a precise preoperative diagnosis and a road map for the operating surgeon.
Computed tomography, Congenital diaphragmatic hernia, Pulmonary complications, Surgical emergency
DOI: 10.7860/JCDR/2021/50538.15745
Date of Submission: May 25, 2021
Date of Peer Review: Jul 07, 2021
Date of Acceptance: Jul 31, 2021
Date of Publishing: Dec 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jun 08, 2021
• Manual Googling: Jul 31, 2021
• iThenticate Software: Nov 30, 2021 (7%)
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