North American Journal of Medical Sciences

CASE REPORT
Year
: 2016  |  Volume : 8  |  Issue : 6  |  Page : 252--255

Acute bowel obstruction in a giant recurrent right Bochdalek«SQ»s hernia: A report of complication on both sides of the diaphragm


Hasan S Massloom 
 Department of Surgery, Johns Hopkins Aramco Healthcare, Dhahran, Saudi Arabia

Correspondence Address:
Dr. Hasan S Massloom
Consultant Cardiothoracic Surgeon, Department of Surgery, JHAH, Saudi Aramco, PO Box 12192, Dhahran 31311
Saudi Arabia

Context: Diagnosis of congenital Bochdalek«SQ»s hernia (BH) in adulthood is extremely rare and requires a fastidious surgical repair, the failure of which might result in a recurrence with severe complications. We report a rare case of a giant, right BH that recurred after surgical repair and was complicated with complete bowel obstruction. Case Report: A 51-year-old Saudi male, with past surgical history of laparotomy that failed to repair BH, presented to the emergency room with severe abdominal pain, vomiting, and hypovolemic shock. Computerized tomography (CT) showed an unusual picture of closed-loop bowel obstruction above and below the diaphragm. We carried out laparotomy and thoracotomy that achieved lysis of adhesions, reduction of bowel, and repair of diaphragmatic defect. Conclusion: Acute presentation of complicated BH poses a formidable challenge because of its rarity and complexity. The preferred approach for elective repair of adult BH is debatable, where surgeons-guided by hernia type and biased by their experience-recommend either laparotomy or thoracotomy. Nevertheless, a complicated, giant, recurrent BH typically requires both laparotomy and thoracotomy.


How to cite this article:
Massloom HS. Acute bowel obstruction in a giant recurrent right Bochdalek's hernia: A report of complication on both sides of the diaphragm.North Am J Med Sci 2016;8:252-255


How to cite this URL:
Massloom HS. Acute bowel obstruction in a giant recurrent right Bochdalek's hernia: A report of complication on both sides of the diaphragm. North Am J Med Sci [serial online] 2016 [cited 2022 Jun 26 ];8:252-255
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2016;volume=8;issue=6;spage=252;epage=255;aulast=Massloom;type=0