Kocakusak A, Arikan S, Senturk O, Yucel A F
Haseki Education and Research Hospital General Surgery Clinic, Istanbul, Turkey.
Hernia. 2005 Oct;9(3):284-7. doi: 10.1007/s10029-004-0302-x. Epub 2005 Oct 22.
The improper fusion of the posterolateral foramina of the diaphragm was first described by Bochdalek in 1848. The true incidence of this congenital anomaly ranges from 1/7,000 to 6%. Although it is a well-known neonatal disease, it can also be diagnosed incidentally in adult patients. Until now, a total of around 100 cases of occult asymptomatic Bochdalek's hernia have been reported. The symptomatic cases are encountered more rarely. Colon necrosis among the symptomatic cases was reported in some cases. We herein report a case of a 21-year-old man with a left-sided Bochdalek's hernia which led to total necrosis of the transverse colon. Following resection and colocolonic anastomosis, the defect on the diaphragm was repaired. After an uneventful recovery period, he was discharged from the hospital on the 10th postoperative day. Being aware of this rarely encountered disease and of the factors for early diagnosis is of utmost importance to decrease mortality and morbidity.
1848年，博赫达勒克首次描述了膈肌后外侧孔的异常融合。这种先天性异常的实际发病率在1/7000至6%之间。尽管它是一种广为人知的新生儿疾病，但也可能在成年患者中偶然被诊断出来。到目前为止，总共报告了约100例隐匿性无症状博赫达勒克疝病例。有症状的病例则更为罕见。在一些有症状的病例中报告了结肠坏死。我们在此报告一例21岁男性左侧博赫达勒克疝病例，该病例导致横结肠完全坏死。在切除并进行结肠结肠吻合术后，修复了膈肌上的缺损。经过平稳的恢复期后，他在术后第10天出院。了解这种罕见疾病以及早期诊断的因素对于降低死亡率和发病率至关重要。
