Laaksonen Elina, Silvasti Seppo, Hakala Tapio
Department of Surgery, North Karelia Hospital, Joensuu, Finland.
J Med Case Rep. 2009 Nov 23;3:9291. doi: 10.1186/1752-1947-3-9291.
Bochdalek hernia is a type of congenital diaphragmatic hernia that typically presents in childhood - the clinical manifestation of symptoms and diagnosis in adults is extremely rare. There are fewer than 20 cases of right-sided Bochdalek hernia reported in adults in the literature.
We review a case of a 38-year-old woman with a right-sided Bochdalek hernia who was experiencing abdominal pain and pleural effusion. The diagnosis of Bochdalek hernia was made by chest X-ray and computed tomography. The right lobe of the liver and flexura hepatica of the colon were herniated into the thorax cavity. The hernia was treated via thoracotomy assisted with laparoscopy and she made an uneventful recovery.
We report a rare case of a right-sided Bochdalek hernia for which our patient was treated successfully. Even though rare, this disorder should be recognised, examined and treated appropriately to avoid complications.
波氏疝是一种先天性膈疝，通常在儿童期出现——其在成人中的症状临床表现及诊断极为罕见。文献中报道的成人右侧波氏疝病例少于20例。
我们回顾了一例38岁患有右侧波氏疝且伴有腹痛和胸腔积液的女性病例。通过胸部X线和计算机断层扫描确诊为波氏疝。肝脏右叶和结肠肝曲疝入胸腔。通过胸腔镜辅助下的开胸手术对该疝进行了治疗，患者恢复顺利。
我们报告了一例罕见的右侧波氏疝病例，我们的患者已成功接受治疗。尽管这种疾病罕见，但仍应予以识别、检查并进行适当治疗以避免并发症。
