Right-sided Bochdalek hernia in an adult: a case report

Refik Ülkü, Alper Avcı, Serdar Onat, Cemal Özçelik

Department of Thoracic Surgery, Medicine Faculty of Dicle University, Diyarbakır

Congenital right diaphragmatic hernia of Bochdalek rarely occurs in adults. Most of them are asymptomatic. In this article, we report a case of a 21-year-old male with rightsided Bochdalek diaphragmatic hernia who presented with abdominal pain and dyspnea. The chest radiography showed features suggestive of right-sided diaphragmatic hernia. This was confirmed on a computed tomography. The patient underwent right posterolateral thoracotomy whereby a 10 cm posterolateral diaphragmatic defect with herniation of the colon and kidney through the opening was found. During surgery the colon and right kidney were reduced into peritoneal cavity, and the diaphragmatic defect was repaired with non-absorbable sutures. The patient's recovery was uneventful. He remained well at six-month follow-up.

Keywords : Computed tomography; diaphragm/diagnosis/radiography; thoracic diseases/complication/radiography/surgery

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