A Rare Cause of Dyspnoea: Right-sided Bochdalek Hernia in an Adult
  • David Rocha Paiva
    Hospital Nossa Senhora da Oliveira, Guimarães, Portugal
  • Daniela Casanova
    Hospital Nossa Senhora da Oliveira, Guimarães, Portugal
  • Helio Martins
    Hospital Nossa Senhora da Oliveira, Guimarães, Portugal
  • Margarida Cerqueira
    Hospital Nossa Senhora da Oliveira, Guimarães, Portugal
  • Mariana Formigo
    Hospital Nossa Senhora da Oliveira, Guimarães, Portugal
  • Olinda Miranda
    Hospital Nossa Senhora da Oliveira, Guimarães, Portugal
  • Jorge Cotter
    Hospital Nossa Senhora da Oliveira, Guimarães, Portugal

Keywords

Bochdalek hernia, dyspnoea

Abstract

Right-sided Bochdalek hernia (BH) is very rarely diagnosed in adults. It commonly presents with gastrointestinal symptoms (pain, abdominal distension and vomiting). Breathlessness, recurrent chest infections and other pulmonary sequelae can also be present. We report the case of a 92-year-old man with a 3-day history of dyspnoea, fever and thoracic pain and multiple episodes of vomiting. An x-ray was performed, and the diagnosis of a large BH hernia was confirmed by computed tomography of the thorax. The condition may be fatal in cases where the small bowel undergoes necrosis or perforation. An emergent laparotomy was performed, but the patient did not improve clinically and died immediately after the procedure.

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References

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  • Hamid KS, Rai SS, Rodriguez JA. Symptomatic Bochdalek hernia in an adult. JSLS 2010;14:279–281.
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    Published: 2020-04-17
    Issue: 2020: Vol 7 No 7 (view)


    How to cite:
    1.
    Paiva DR, Casanova D, Martins H, Cerqueira M, Formigo M, Miranda O, Cotter J. A Rare Cause of Dyspnoea: Right-sided Bochdalek Hernia in an Adult. EJCRIM 2020;7 doi:10.12890/2020_001531.

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