PT  - JOURNAL ARTICLE
AU  - Mohammed A. Al-Shehri
AU  - Ali M. Al-Binali
AU  - Waleed A. Eid
AU  - Olu A. Osinowo
AU  - Nabil E. Mohammed
TI  - Late presentation of a right Bochdalek hernia with a right intrathoracic stomach and organo-axial torsion
DP  - 2005 Jul 01
TA  - Saudi Medical Journal
PG  - 1122--1126
VI  - 26
IP  - 7
4099  - http://smj.org.sa/content/26/7/1122.short
4100  - http://smj.org.sa/content/26/7/1122.full
SO  - Saudi Med J2005 Jul 01; 26
AB  - A postero-lateral hernia through the foramen of Bochdalek is a rare type of congenital diaphragmatic hernia CDH. The incidence of Bochdalek hernia on the right side is 10-20% compared to the left side, and herniation of the stomach into the right pleural cavity is extremely rare. We report a case of right-sided Bochdalek hernia with a right intrathoracic stomach and organo-axial torsion misdiagnosed initially, and treated as a case of hyperactive airway disease. The child had a right thoracotomy, excision of the hernia sac that contained the stomach, greater omentum and part of the liver, reduction of the viscera into the abdominal cavity and simple closure of the diaphragmatic defect. Recovery was uneventful. This case highlights the consequences of late diagnosis and the effectiveness of surgical relief. A new clinico-anatomical classification of Bochdalek hernia is presented.