Mohammed Zak Rajput, Piero Marco Fisichella, Swallowing Center, Department of Surgery, Loyola University Medical Center, Maywood, IL 60153, United States.
World J Gastrointest Surg. 2013 Jul 27;5(7):222-3. doi: 10.4240/wjgs.v5.i7.222.
An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia.
一位 81 岁的男性，患有先天性多囊肾病，因吞咽困难、胃食管反流经药物治疗无效，且在 6 个月内体重减轻 11.25 公斤，就诊于他的初级保健医生。钡餐检查误诊为食管裂孔疝，其实是 Bochdalek 疝。本文强调了 Bochdalek 疝在鉴别诊断中可能被忽视的情况，以及医生如何更倾向于常见的诊断，即食管裂孔疝，这种疝在老年中更常见，其影像学表现可能类似于 Bochdalek 疝。
