Nontraumatic massive right-sided Bochdalek hernia in an adult

Diaphragmatic hernias in adults usually pose a diagnostic challenge; the presentations are varied and range from acute abdominal pain with features of gut obstruction, pleuritic chest pain, breathlessness, to a pregnant woman with pain abdomen. The usual cause in adults is posttraumatic. Because of...

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Bibliographic Details
Published in:The American journal of emergency medicine 2011, Vol.29 (3), p.356.e5-356.e7
Main Authors: Sofi, Fayaz A., MD, Ahmed, Sheikh Hilal, MD, Dar, Majid A., MCH(CVTS) MS, Nabhi, Dhobi G., MD, Mufti, Showkat, MD, Bhat, Mohammad Akbar, MCH (CVTS)MS, Tabassum, Parvez Nazir, DMRD Radiology
Format: Article
Language:English
Subjects:
Abdomen
Adults
Colon
Diaphragm (Anatomy)
Emergency
Emergency medical care
Esophagus
Hernias
Liver
Mesentery
Ostomy
Pain
Trauma
Ultrasonic imaging
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Summary:Diaphragmatic hernias in adults usually pose a diagnostic challenge; the presentations are varied and range from acute abdominal pain with features of gut obstruction, pleuritic chest pain, breathlessness, to a pregnant woman with pain abdomen. The usual cause in adults is posttraumatic. Because of varied presentations, the diagnosis is often delayed. We present a case of a young woman who presented with sudden-onset breathlessness with similar episodes in the past and no history of trauma, who proved to be having a right-sided diaphragmatic hernia. This case is reported not only because of rarity of nontraumatic right-sided Bochdalek hernias in adults, but also because of peculiar presentation and history.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2010.03.034