Bochdalek hernias are a rare diaphragmatic hernia, usually diagnosed in childhood. We report a case of a large Bochdalek hernia containing omentum, stomach, left colon and some small bowel (jejunum) including mesentery, the superior pole of the left kidney, spleen and tail of pancreas diagnosed in adulthood. Our patient underwent a laparoscopic repair of this massive hernia with a composite mesh with an excellent post-operative outcome.

/pdf/laparoscopic-repair-of-massive-bochdalek-hernia-22ul88oiso.pdf

Laparoscopic repair of massive Bochdalek hernia

We present the case of a 22-year-old patient, with congenital diaphragmatic hernia, diagnosed at an advanced stage due to an occlusive syndrome observed on the CT scan, revealing colonic distension upstream of a strangulated Bochdalek's diaphragmatic hernia. The patient underwent laparotomy, where the hernia was reduced, and the diaphragmatic rupture was closed. The purpose of this article is to highlight a rare cause of intestinal obstruction, which is strangulated diaphragmatic hernia, when the diagnosis and detection of complications are confirmed through CT scan, allowing for early management.

Case Report: The Diaphragmatic Hernia: A Rare Cause of Intestinal Obstruction

We report the case of a 28 year old young man with congenital diaphragmatic hernia, detected at a later stage due to occlusive syndrome manifesting on the scanner as small intestine and colonic distension upstream of a strangulated Bochdalek’s diaphragmatic hernia. The patient underwent laparotomy with reduction of the hernia and closure of the diaphragmatic rupture. This study aims to update the current understanding of a rare cause of intestinal obstruction, strangulated Bochdalek’s diaphragmatic hernia, whose diagnosis is essentially based on radiological examinations based on the scanner data, which allows early management.

Hernie de Bochdaleck étranglée: cause rare d’occlusion intestinale aiguë

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Hernie de Bochdaleck étranglée: cause rare d’occlusion intestinale aiguë