Carreño G, Sánchez R, Alonso R A, Galarraga M A, Moriyón C, Magarzo A, Bouzón F, Makdissi Z, Obregón R A
Department of General Surgery, Hospital de Cabueñes, 33394 Cabueñes - Gijón, Asturias, Spain.
Surg Endosc. 2001 Nov;15(11):1359. doi: 10.1007/s004640040028. Epub 2001 Aug 16.
Bochdalek's hernia is the most common congenital diaphragmatic hernia in newborns, but it is an uncommon clinical feature in adults. In most cases, there are no symptoms or only minor gastrointestinal problems. Rarely, it may manifest as an acute abdomen due to viscus strangulation, requiring emergency surgery. We report the case of a 52-year-old man with herniation of the colon and a volvulated stomach through a Bochdalek's hernia. The patient was operated on via a laparoscopic approach and had an uneventful recovery. We recommend the laparoscopic approach as an alternative to open surgery in cases of noncomplicated Bochdalek's hernia.
博赫达勒克疝是新生儿中最常见的先天性膈疝，但在成人中却是一种不常见的临床特征。在大多数情况下，没有症状或仅有轻微的胃肠道问题。极少数情况下，它可能因脏器绞窄而表现为急腹症，需要紧急手术。我们报告一例52岁男性患者，其结肠和胃通过博赫达勒克疝发生疝出。该患者通过腹腔镜手术治疗，术后恢复顺利。对于非复杂性博赫达勒克疝病例，我们推荐腹腔镜手术作为开放手术的替代方法。
