A rare presentation of a gastric volvulus in an adult Bochdalek hernia: a case report.
Bochdalek hernia
diaphragmatic defect
gastric volvulus
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
18
07
2023
accepted:
11
09
2023
medline:
4
10
2023
pubmed:
4
10
2023
entrez:
4
10
2023
Statut:
epublish
Résumé
A Bochdalek hernia is a common congenital diaphragmatic defect in infants. A late presentation during adulthood is rare with misleading signs and symptoms, resulting in misdiagnosis and errors in treatment. We describe a 30-year-old man who presented with abdominal pain and chronic choking sensation, which was previously treated as peptic ulcer disease. During the present admission, radiological imaging performed revealed loops of bowel and a gastric volvulus in the left hemithorax. The patient underwent a successful emergency surgery and repair of a Bochdalek hernia. Due to its rarity and ambiguous presentation, a symptomatic Bochdalek hernia in an adult is commonly misdiagnosed. A comprehensive evaluation is pertinent for early diagnosis and treatment, to prevent complications arising from obstruction and strangulation of herniated intraabdominal contents.
Identifiants
pubmed: 37790291
doi: 10.1093/jscr/rjad540
pii: rjad540
pmc: PMC10542735
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjad540Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023.
Déclaration de conflit d'intérêts
None declared.
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