Ibáñez-Fuentes José Refugio, Nieto-Ocampo Aura Esmeralda, Bermudez-Jiménez Arturo, Olivares-Aguirre Arturo
Clínica de Emergencias Villa Coapa, México, D.F.
Gac Med Mex. 2003 Jan-Feb;139(1):69-72.
Bochdalek hernia is a congenital defect of the posterolateral region of the diaphragm, usually on the left side, and is most often seen in infants, rare in the adult. In a bibliographical review of the literature we found 100 cases reported of Bochdalek hernia in the adult. We present the case of a 52 year old man with Bochdalek hernia, he presented gastric symptoms of upper gastrointestinal bleeding. Upper gastrointestinal barium study showed the stomach inside the thoracic cavity, endoscopy showed ischemical changes in gastric mucosa The surgical repair was done through left thoracotomy without surgical complications, four years later the patient is asymptomatic.
博赫dalek疝是膈肌后外侧区域的先天性缺陷,通常发生在左侧,最常见于婴儿,在成人中罕见。在对文献的书目回顾中,我们发现有100例成人博赫dalek疝的报道。我们报告一例52岁患有博赫dalek疝的男性病例,他出现了上消化道出血的胃部症状。上消化道钡餐检查显示胃位于胸腔内,内镜检查显示胃黏膜有缺血性改变。通过左胸切开术进行了手术修复,无手术并发症,四年后患者无症状。