Gastric volvulus and giant Bochdalek hernia in an adult patient that were safely repaired by endoscopic reduction and elective laparoscopic surgery. Issue 1 (2nd June 2020)

• Record Type: Journal Article
• Authors: An, Byonggu; Zen, Yumi; Akabori, Hiroya; Kitamura, Naomi; Ohta, Hiroyuki; Otsuki, Akinori; Mizuta, Hiroo; Tsujikawa, Tomoyuki; Mekata, Eiji
• Is Part Of: Asian journal of endoscopic surgery. Volume 14:Issue 1(2021)
• Page Start: 120
• Page End: 123
• Publication Date: 2020-06-02
• Subjects: Bochdalek hernia -- gastric volvulus -- laparoscopic surgery; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12806
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: A Bochdalek hernia (BH) is a congenital abnormality with incomplete closure of the diaphragm. It is usually manifested in infants but rarely in adults. Here, we report an adult patient with gastric volvulus and giant BH that were safely repaired by endoscopic reduction and elective laparoscopic surgery, respectively. A 79‐year‐old woman presented with left upper abdominal pain but no history of trauma. CT revealed a giant BH with gastric volvulus. After emergency endoscopic reduction of the volvulus, elective laparoscopic repair of the BH was performed. The 8 × 8‐cm defect was repaired with interrupted nonabsorbable sutures and a mesh. The patient's postoperative course was uneventful, and no complications or recurrence were observed in the 6 months that followed.