Selvakumar Daneish, Sian Karan, Iyengar Ajay J, Mejia Ross
School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia.
Department of Cardiothoracic Surgery, John Hunter Hospital, New Lambton Heights, New South Wales, Australia.
J Thorac Dis. 2017 Aug;9(8):E682-E684. doi: 10.21037/jtd.2017.07.08.
Hiatal hernias are due to defects in the esophageal hiatus in the diaphragm and can be classified into sliding or paraesophageal hernias. A 31-year-old male raised a suspicion of a Bochdalek hernia but at surgery had a large paraesophageal hernia. Bochdalek hernia, a congenital diaphragmatic hernia presents in adulthood asymptomatically or with vague abdominal symptoms. It is paramount to confirm the diagnosis and rule out any fatal complications with imaging studies. Prompt surgical management with large complicated hernias, such as in our case presentation would ensure the most favorable outcome.
食管裂孔疝是由于膈肌食管裂孔存在缺陷所致，可分为滑动型或食管旁疝。一名31岁男性起初怀疑患有博赫dalek疝，但手术时发现是一个巨大的食管旁疝。博赫dalek疝是一种先天性膈疝，在成年期可无症状出现，或伴有模糊的腹部症状。通过影像学检查来确诊并排除任何致命并发症至关重要。对于大型复杂疝，如我们病例中的情况，及时进行手术治疗可确保获得最有利的结果。
