A case of Bochdalek hernia in adult misdiagnosed as pulmonary tuberculosis

Bochdalek hernias are congenital defects resulting from the failure of posterolateral diaphragmatic foramina to fuse in utero. Usually it manifests in the neonatal period and occasionally in childhood. Symptomatic Bochdalek hernias in adults are infrequent and may lead to gastrointestinal dysfunctio...

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Bibliographic Details
Published in:Journal of medical and allied sciences 2017, Vol.7 (1), p.1-63
Main Authors: Sarangi, Pradosh, Mangaraj, Pragnyamaya, Pattanayak, Debabrata, Kumar, Laxmi, Mohanty, Jayashree
Format: Article
Language:English
Subjects:
Abdomen
Adults
Bochdalek hernia
Case reports
Complaints
Congenital diseases
Diaphragmatic hernia
Hernias
Hydropneumothorax
Laparoscopic repair
Medical imaging
Pain
Patients
Respiration
Tomography
Trauma
Tuberculosis
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Summary:Bochdalek hernias are congenital defects resulting from the failure of posterolateral diaphragmatic foramina to fuse in utero. Usually it manifests in the neonatal period and occasionally in childhood. Symptomatic Bochdalek hernias in adults are infrequent and may lead to gastrointestinal dysfunction or severe pulmonary disease. Patients are initially investigated and treated for other diseases, therefore diagnosis is purely incidental. Herein, we are reporting a case of symptomatic Bochdalek hernia in an 18-year-old female misdiagnosed as pulmonary tuberculosis and treated accordingly, but with no improvement. This case illustrates importance of high index of clinical suspicion and role of computed tomography in avoiding misdiagnosis and occurrence of serious complication if not treated early.
ISSN:2231-1696
2231-170X
DOI:10.5455/jmas.249120