Posterolateral diaphragmatic hernia with small-bowel incarceration in an adult

  • Gisela Wenzel-Smith Victoria Hospital, Wynberg, Cape Town
Keywords: Hernia

Abstract

Bochdalek hernia (BH), a closing defect of the peripheral posterior aspect of the diaphragm, is the commonest of the congenital diaphragmatic hernias and is usually diagnosed in neonates. Symptomatic presentation of a right-sided diaphragmatic hernia in an adult is unusual. Owing to their rarity and varied presentation, they can pose a diagnostic challenge. A right-sided BH in a 40-year-old woman who presented with respiratory distress associated with abdominal pain and symptoms of small-bowel obstruction is reported. Midline laparotomy revealed necrotic small bowel and faecothorax of the pleural cavity. Diaphragmatic hernias should be included in the differential diagnosis of patients with acute or chronic gastrointestinal, or less frequently respiratory, symptoms.

Author Biography

Gisela Wenzel-Smith, Victoria Hospital, Wynberg, Cape Town
MMedFamMed, currently MO in the dept of surgery, Victoria Hospital, Wynberg
Published
2013-05-03
How to Cite
Wenzel-Smith, G. (2013). Posterolateral diaphragmatic hernia with small-bowel incarceration in an adult. South African Journal of Surgery, 51(2), 73-74. https://doi.org/10.7196/sajs.1320
Section
Case Reports