Bochdalek Hernia Causing Sigmoid Colon Strangulation in an Elderly Patient

Diaphragmatic hernia with bowel strangulation is a fatal condition requiring a prompt diagnosis. Bochdalek hernia is a common type of diaphragmatic hernia that rarely but occasionally occurs in adults. We herein report a case of Bochdalek hernia causing sigmoid colon strangulation in an elderly pati...

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Bibliographic Details
Published in:Internal Medicine 2024/02/01, Vol.63(3), pp.447-450
Main Authors: Yagishita, Yuika, Kano, Yasuhiro, Takamori, Mikio, Tawara, Mari, Iwanami, Satoru, Ibe, Masaaki, Murata, Kengo, Araki, Junko, Watanuki, Satoshi, Kuki, Takaie, Kitazono, Miyako
Format: Article
Language:English
Subjects:
Adult
Aged
Arteries
Bochdalek hernia
Case Report
Case reports
Colon
Colon, Sigmoid - diagnostic imaging
Computed tomography
Diagnosis
Diaphragm
diaphragmatic hernia
Empyema
Hernia
Hernias, Diaphragmatic, Congenital - diagnosis
Humans
Intestine
Pancreas
pleural effusion
pseudoempyema
strangulated bowel obstruction
Tomography, X-Ray Computed
Citations: Items that this one cites
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Summary:Diaphragmatic hernia with bowel strangulation is a fatal condition requiring a prompt diagnosis. Bochdalek hernia is a common type of diaphragmatic hernia that rarely but occasionally occurs in adults. We herein report a case of Bochdalek hernia causing sigmoid colon strangulation in an elderly patient whose condition was initially misdiagnosed as empyema. The early diagnosis of strangulated bowel stemming from diaphragmatic hernia can be challenging because of its rarity and the nonspecificity of its symptoms. However, tracing the mesenteric arteries on computed tomography can enable a quick diagnosis.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.1793-23