Chandran, Pradeep Chand and Jothi, Dinesh Baithma and Hayati, Firdaus and Ng, Chiak Yot (2021) Strangulated Bochdalek hernia: Approach of management in emergency setting. Gazi Medical Journal, 32 (3). pp. 439-441. ISSN 2147-2092, DOI https://doi.org/10.12996/gmj.2021.99.
Full text not available from this repository.Abstract
Bochdalek hernia is a type of congenital diaphragmatic hernia that primarily manifests in children however in rare instances they do manifest in adulthood spontaneously or after physical exertion. We report a case of a left-sided Bochdalek hernia in an adult who presented with left-sided chest pain and worsening symptoms of dyspnea. His chest radiograph revealed dilated small bowel loops in the left hemithorax causing a mediastinal shift. A computed tomography done revealed a posterolateral diaphragmatic defect through which the abdominal viscera had herniated. He was subsequently intubated due to severe respiratory distress. The patient underwent an emergency laparotomy which revealed a large 10 cm posterolateral diaphragmatic defect with herniation of small bowel, spleen and transverse colon. The small bowel was gangrenous and perforated therefore a primary repair of the defect with nonabsorbable sutures was done. Gangrenous bowel was resected and primary anastomosis was done. Postoperatively, the patient had significant clinical improvement and was discharged a week later with no immediate complications.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | Agenesis of hemidiaphragm; Bochdalek hernias; Congenital diaphragmatic defect; Congenital diaphragmatic hernias; Spiral computed tomography |
| Subjects: | R Medicine > R Medicine (General) R Medicine > RC Internal medicine |
| Divisions: | Faculty of Medicine > Surgery Department |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 29 Aug 2022 07:50 |
| Last Modified: | 29 Aug 2022 07:50 |
| URI: | http://eprints.um.edu.my/id/eprint/35173 |
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