Bochdalek Hernia in an Adult Causing Intraoperative Complication

Bochdalek hernias are rarely diagnosed in adults and account for 0.17-6% of all diaphragmatic hernias. It is a congenital diaphragmatic hernia caused by a defect in the posterior attachment of the diaphragm due to a failure of the pleuroperitoneal membrane closure in utero. This may rarely cause che...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-09, Vol.13 (9)
Main Authors: Zee, Kalvin, Haque, Ashna, Kelly, Conor
Format: Article
Language:English
Subjects:
Anesthesiology
General Surgery
Pulmonology
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Summary:Bochdalek hernias are rarely diagnosed in adults and account for 0.17-6% of all diaphragmatic hernias. It is a congenital diaphragmatic hernia caused by a defect in the posterior attachment of the diaphragm due to a failure of the pleuroperitoneal membrane closure in utero. This may rarely cause chest pain, respiratory symptoms, or gastrointestinal symptoms. In this study, we present a case of a laparoscopic paraesophageal repair via Nissen fundoplication. The incidental finding and subsequent repair of a Bochdalek hernia during this case may have resulted in complications of the surgery including pneumothorax due to the defect in the pleuroperitoneal membrane. 
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.18010