Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation

Right-sided Bochdalek hernia is a mostly congenital condition of the diaphragm caused by a persistence of the pleuroperitoneal cavity and a rare disease in adults. As it often presents as an emergent situation, urgent diagnostics and surgical intervention are essential to reduce morbidity and mortal...

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Autores principales:	Jan Philipp Ramspott, Stephan Regenbogen, Tarkan Jäger, Michael Lechner, Franz Mayer, Ana Gabersek, Klaus Emmanuel, Philipp Schredl
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	Bochdalek hernia hernia repair mesh suture thoracic complication Surgery RD1-811
Acceso en línea:	https://doaj.org/article/0625ce8c89964626b105f3cf65ce284a
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spelling	oai:doaj.org-article:0625ce8c89964626b105f3cf65ce284a2021-11-19T04:58:13ZCase Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation2296-875X10.3389/fsurg.2021.755279https://doaj.org/article/0625ce8c89964626b105f3cf65ce284a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.755279/fullhttps://doaj.org/toc/2296-875XRight-sided Bochdalek hernia is a mostly congenital condition of the diaphragm caused by a persistence of the pleuroperitoneal cavity and a rare disease in adults. As it often presents as an emergent situation, urgent diagnostics and surgical intervention are essential to reduce morbidity and mortality rates. Choosing the right surgical approach (abdominal, thoracic, or a combination of both) can be very challenging for clinicians. Here, we report a case of a 40-year-old woman, who presented with severe abdominal pain and tachypnoea. Imaging revealed a right-sided Bochdalek hernia. Emergency laparotomy was performed followed by reduction of hernia content, right-sided hemicolectomy, and side-to-side anastomosis from the ileum to the transverse colon due to intestinal ischemia and intrathoracic bowel perforation. The post-operative course was complicated by a pleural empyema. Therefore, the patient underwent thoracotomy. One year after surgical repair the patient had no recurrence. Here, we discuss feasible approaches for the surgical management of complicated Bochdalek hernias.Jan Philipp RamspottJan Philipp RamspottStephan RegenbogenStephan RegenbogenTarkan JägerMichael LechnerFranz MayerAna GabersekKlaus EmmanuelPhilipp SchredlFrontiers Media S.A.articleBochdalek herniaherniarepairmeshsuturethoracic complicationSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Bochdalek hernia hernia repair mesh suture thoracic complication Surgery RD1-811
spellingShingle	Bochdalek hernia hernia repair mesh suture thoracic complication Surgery RD1-811 Jan Philipp Ramspott Jan Philipp Ramspott Stephan Regenbogen Stephan Regenbogen Tarkan Jäger Michael Lechner Franz Mayer Ana Gabersek Klaus Emmanuel Philipp Schredl Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation
description	Right-sided Bochdalek hernia is a mostly congenital condition of the diaphragm caused by a persistence of the pleuroperitoneal cavity and a rare disease in adults. As it often presents as an emergent situation, urgent diagnostics and surgical intervention are essential to reduce morbidity and mortality rates. Choosing the right surgical approach (abdominal, thoracic, or a combination of both) can be very challenging for clinicians. Here, we report a case of a 40-year-old woman, who presented with severe abdominal pain and tachypnoea. Imaging revealed a right-sided Bochdalek hernia. Emergency laparotomy was performed followed by reduction of hernia content, right-sided hemicolectomy, and side-to-side anastomosis from the ileum to the transverse colon due to intestinal ischemia and intrathoracic bowel perforation. The post-operative course was complicated by a pleural empyema. Therefore, the patient underwent thoracotomy. One year after surgical repair the patient had no recurrence. Here, we discuss feasible approaches for the surgical management of complicated Bochdalek hernias.
format	article
author	Jan Philipp Ramspott Jan Philipp Ramspott Stephan Regenbogen Stephan Regenbogen Tarkan Jäger Michael Lechner Franz Mayer Ana Gabersek Klaus Emmanuel Philipp Schredl
author_facet	Jan Philipp Ramspott Jan Philipp Ramspott Stephan Regenbogen Stephan Regenbogen Tarkan Jäger Michael Lechner Franz Mayer Ana Gabersek Klaus Emmanuel Philipp Schredl
author_sort	Jan Philipp Ramspott
title	Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation
title_short	Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation
title_full	Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation
title_fullStr	Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation
title_full_unstemmed	Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation
title_sort	case report: adult right-sided bochdalek hernia complicated by intrathoracic bowel perforation
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/0625ce8c89964626b105f3cf65ce284a
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Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation

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