Gastric Volvulus in Association with Bockdalekhernia in Adult Patient (Case Report)
DOI:
https://doi.org/10.47672/ajhmn.2437Keywords:
Bochdalek; Volvulus; LaparotomyAbstract
Purpose: Bochdalek hernia (BH) in adulthood is rare. Symptomatic BH in adults is rarer, but may lead to fatal complications. Patients with acute gastric volvulus on diaphragmatic hernia are a diagnostic and therapeutic emergency.
Materials and Methods: A 22-year-old male patient presented to our emergency department with a two-day history of severe epigastric pain. The pain was dull in nature with dyspnea on lying supine.
Findings: The stomach was within the thorax on the left side due to left diaphragmatic hernia of a nontraumatic cause, diagnosed by chest radiograph, and computed tomography (CT). The patient was prepared for the open surgical repair, to close the defect. The patient recovered with accepted general condition and was discharged 5 days later. In conclusion, in our case, we report this rare presentation of BH with gastric volvulus as an urgent condition that needs to be diagnosed as early as possible to prevent fatal complications.
Implications to Theory, Practice and Policy: A diagnosis of an adult diaphragmatic hernia should always be kept in mind in patients with overlapping abdominal and respiratory symptoms with or without a history of trauma.
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Gue, R.S. and L. Winkler, Bochdalek Hernia, in StatPearls. 2024, StatPearls Publishing
Copyright © 2024, StatPearls Publishing LLC.: Treasure Island (FL) ineligible companies. Disclosure: Lana Winkler declares no relevant financial relationships with ineligible companies.
Chui, P.P. and C.T. Tan, Sudden death due to incarcerated Bochdalek hernia in an adult. Ann Acad Med Singap, 1993. 22(1): p. 57-60.
Granier, V., et al., Intrathoracic caecal perforation presenting as dyspnea. Case Rep Med, 2010. 2010: p. 296730.
Kumar, A., et al., Caecal perforation with faecal peritonitis - unusual presentation of Bochdalek hernia in an adult: a case report and review of literature. World J Emerg Surg, 2009. 4: p. 16.
Nitecki, S. and J.A. Bar-Maor, Late presentation of Bochdalek hernia: our experience and review of the literature. Isr J Med Sci, 1992. 28(10): p. 711-4.
Gedik, E., et al., A review of Morgagni and BHin adults. Folia Morphol (Warsz), 2011. 70(1): p. 5-12.
Sinwar, P.D., Gastric mesenteroaxial volvulus with partial eventration of left hemidiaphragm: A rare case report. Int J Surg Case Rep, 2015. 9: p. 51-3.
Anaya-Ayala, J.E., B. Naik-Mathuria, and O.O. Olutoye, Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature. J Pediatr Surg, 2008. 43(3): p. E35-9.
Kotobi, H., et al., Acute mesenteroaxial gastric volvulus and congenital diaphragmatic hernia. Pediatr Surg Int, 2005. 21(8): p. 674-6.
Wu, M.H., et al., Acute gastric volvulus: a rare but real surgical emergency. Am J Emerg Med, 2010. 28(1): p. 118.e5-7.
Bedioui, H. and Z. Bensafta, [Gastric volvulus: diagnosis and management]. Presse Med, 2008. 37(3 Pt 2): p. e67-76.
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Copyright (c) 2024 Zakaria Yahia Al-Khazraji, Hiba A. Ali, Mohammed Zahed Abdul Razaq, Mustafa Abdul Karim Ahmed, Abeer Nibras Nimr, Hussein Alaa-alden Fadhi
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