Rare case of a right Bochdalek hernia with retroperitoneal prolapse of organs into the thoracic cavity in infancy: A case report. Issue 2 (6th November 2022)

• Record Type: Journal Article
• Authors: Nakagawa, Yoichi; Uchida, Hiroo; Hinoki, Akinari; Shirota, Chiyoe; Sumida, Wataru; Makita, Satoshi; Amano, Hizuru; Masamune, Okamoto; Takimoto, Aitaro; Ogata, Seiya; Takada, Shunya; Kato, Daiki; Gohda, Yousuke; Guo, Yaohui
• Is Part Of: Asian journal of endoscopic surgery. Volume 16:Issue 2(2023)
• Page Start: 284
• Page End: 288
• Publication Date: 2022-11-06
• Subjects: Bochdalek hernia -- congenital diaphragmatic hernia -- retroperitoneal hernia; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.13139
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: We report an extremely rare case of a right Bochdalek hernia with a sac, in which the retroperitoneal and intra‐abdominal organs prolapsed into the thoracic cavity at the same time. The patient was a 7‐month‐old female with no comorbidities. She presented with cough and fever, and chest radiography revealed a right diaphragmatic hernia. Computed tomography showed that the right kidney, intestine, colon, and liver had prolapsed into the thoracic cavity. The patient underwent thoracoscopic surgery, which showed that the abdominal and retroperitoneal organs prolapsed into the thoracic cavity through the Bochdalek hernia. The herniated organs were spontaneously reduced using thoracoscopic insufflation. The defect hole was closed with artificial mesh. We adopted a thoracoscopic approach, in terms of easy reduction of herniated organs and accurate evaluation of the hernia orifice, which was useful.