Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications.
Adult
Bochdalek hernia
Pulmonary complications
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
17 Apr 2020
17 Apr 2020
Historique:
received:
21
01
2020
accepted:
02
04
2020
entrez:
19
4
2020
pubmed:
19
4
2020
medline:
19
4
2020
Statut:
epublish
Résumé
Bochdalek hernia in an adult is very rare and often needs an immediate surgical repair for the herniation. Although its etiology and surgical techniques have frequently been reported, perioperative complications, especially cardiopulmonary problems, remain unknown. We reported two adults with Bochdalek hernia and reviewed the published literatures with a focus on these issues. We experienced two adult cases of Bochdalek hernia with gastrointestinal strangulation. One case had massive herniation of the stomach, colon, spleen, and pancreas in the left chest, causing repeated vomiting. The other had a right-side hernia with strangulation of the colon. We successfully performed emergency repairs of these diaphragmatic hernias without any postoperative complications. Our literature review revealed that life-threatening cardiopulmonary complications, such as empyema or cardiac arrest caused by the tamponade effect of the herniated viscera, sometimes occurred in patients with Bochdalek hernia. These complications were found in Bochdalek hernia with gastrointestinal strangulation.
Sections du résumé
BACKGROUND
BACKGROUND
Bochdalek hernia in an adult is very rare and often needs an immediate surgical repair for the herniation. Although its etiology and surgical techniques have frequently been reported, perioperative complications, especially cardiopulmonary problems, remain unknown. We reported two adults with Bochdalek hernia and reviewed the published literatures with a focus on these issues.
CASE PRESENTATION
METHODS
We experienced two adult cases of Bochdalek hernia with gastrointestinal strangulation. One case had massive herniation of the stomach, colon, spleen, and pancreas in the left chest, causing repeated vomiting. The other had a right-side hernia with strangulation of the colon. We successfully performed emergency repairs of these diaphragmatic hernias without any postoperative complications.
CONCLUSIONS
CONCLUSIONS
Our literature review revealed that life-threatening cardiopulmonary complications, such as empyema or cardiac arrest caused by the tamponade effect of the herniated viscera, sometimes occurred in patients with Bochdalek hernia. These complications were found in Bochdalek hernia with gastrointestinal strangulation.
Identifiants
pubmed: 32303918
doi: 10.1186/s40792-020-00833-w
pii: 10.1186/s40792-020-00833-w
pmc: PMC7165220
doi:
Types de publication
Journal Article
Langues
eng
Pagination
72Références
Anesth Essays Res. 2011 Jan-Jun;5(1):92-4
pubmed: 25885308
BMC Surg. 2016 Jun 01;16(1):34
pubmed: 27245581
Ann Thorac Surg. 2014 Aug;98(2):701-4
pubmed: 25087794
Hernia. 2007 Aug;11(4):359-62
pubmed: 17342385
BMJ Case Rep. 2012 Sep 11;2012:
pubmed: 22967686
Hernia. 2011 Feb;15(1):23-30
pubmed: 20614149
J Vis Surg. 2017 Nov 30;3:176
pubmed: 29302452
Acute Med Surg. 2016 Nov 10;4(2):209-212
pubmed: 29123864
Surg Case Rep. 2017 Oct 13;3(1):109
pubmed: 29030793
Asian J Endosc Surg. 2015 Aug;8(3):354-6
pubmed: 26303737
BMJ Case Rep. 2018 Feb 2;2018:
pubmed: 29420248
Pan Afr Med J. 2017 Sep 22;28:70
pubmed: 29255540
BMJ Case Rep. 2010 Dec 15;2010:
pubmed: 22802326
J Cardiothorac Surg. 2016 Dec 1;11(1):165
pubmed: 27906021
Int J Surg Case Rep. 2018;48:10-15
pubmed: 29763850
Acta Medica (Hradec Kralove). 2018;61(3):108-110
pubmed: 30543516
J Pak Med Assoc. 2011 Jun;61(6):600-1
pubmed: 22204220
BMJ Case Rep. 2014 May 16;2014:
pubmed: 24835806
S Afr J Surg. 2013 May 03;51(2):73-4
pubmed: 23725897
Medicine (Baltimore). 2015 Dec;94(51):e2197
pubmed: 26705205
Case Rep Surg. 2016;2016:6591714
pubmed: 28018700
Asian Cardiovasc Thorac Ann. 2012 Dec;20(6):734-6
pubmed: 23284124
BMJ Case Rep. 2016 Nov 15;2016:
pubmed: 27852660
Surg Today. 2014 Apr;44(4):753-6
pubmed: 23291903
Case Rep Gastroenterol. 2010 Dec 01;4(3):518-23
pubmed: 21326883
Int J Surg Case Rep. 2013;4(11):952-4
pubmed: 24055915
Ann R Coll Surg Engl. 2017 Jul;99(6):e159-e161
pubmed: 28660829
Cureus. 2018 Apr 5;10(4):e2427
pubmed: 29876149
Int J Surg Case Rep. 2012;3(12):597-600
pubmed: 22986157
JRSM Short Rep. 2011 Jul;2(7):54
pubmed: 21847436
Korean J Gastroenterol. 2018 May 25;71(5):290-293
pubmed: 29791989
J Robot Surg. 2015 Dec;9(4):357-60
pubmed: 26530841
Springerplus. 2016 Sep 14;5(1):1561
pubmed: 27652134
BMC Res Notes. 2014 May 13;7:296
pubmed: 24886112
Indian J Surg. 2011 Oct;73(5):382-3
pubmed: 23024551
J Med Case Rep. 2011 Oct 21;5:519
pubmed: 22017965
Surg Case Rep. 2015 Dec;1(1):95
pubmed: 26943419
J Clin Diagn Res. 2016 Apr;10(4):PD09-10
pubmed: 27190884
J Cardiothorac Surg. 2014 Feb 10;9:31
pubmed: 24512974
Hernia. 2014;18(6):893-6
pubmed: 23483266
J Robot Surg. 2018 Jun;12(2):351-355
pubmed: 28500579
Int J Surg Case Rep. 2013;4(9):778-81
pubmed: 23872263
Asian J Endosc Surg. 2017 May;10(2):179-182
pubmed: 27860376
J Clin Gastroenterol. 2001 Feb;32(2):155-7
pubmed: 11205653
Updates Surg. 2010 Oct;62(2):125-8
pubmed: 20859719
J Minim Access Surg. 2012 Oct;8(4):158-60
pubmed: 23248447
Case Rep Med. 2010;2010:296730
pubmed: 21331329
J Thorac Cardiovasc Surg. 2011 Jan;141(1):300-1
pubmed: 20176374
Med J Malaysia. 2010 Mar;65(1):75-6
pubmed: 21265257
Asian J Endosc Surg. 2016 Nov;9(4):318-321
pubmed: 27456780
Int J Surg Case Rep. 2014;5(2):82-5
pubmed: 24441713
BMJ Case Rep. 2013 Jun 10;2013:
pubmed: 23761496
Ann Med Surg (Lond). 2015 Dec 08;5:72-5
pubmed: 26865978
Ann R Coll Surg Engl. 2017 Feb;99(2):e75-e77
pubmed: 27869490
Arch Ital Urol Androl. 2016 Jan 14;87(4):327-9
pubmed: 26766808
J Laparoendosc Adv Surg Tech A. 2016 Nov;26(11):911-915
pubmed: 27603937
Korean J Thorac Cardiovasc Surg. 2012 Oct;45(5):348-50
pubmed: 23130314