RT Journal Article
SR Electronic
T1 Late presentation of a right Bochdalek hernia with a right intrathoracic stomach and organo-axial torsion
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1122
OP 1126
VO 26
IS 7
A1 Mohammed A. Al-Shehri
A1 Ali M. Al-Binali
A1 Waleed A. Eid
A1 Olu A. Osinowo
A1 Nabil E. Mohammed
YR 2005
UL http://smj.org.sa/content/26/7/1122.abstract
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.