Kumar Navin, Gupta Amit, Rajput Deepak
Department of Surgery, All India Institute of Medical Sciences, Rishikesh, India.
All India Institute of Medical Sciences, Rishikesh, India.
Pol Przegl Chir. 2019 Jun 16;92(2):60-63. doi: 10.5604/01.3001.0013.2439.
Congenital diaphragmatic hernia (CDH) is extremely rare in adults. Bochdalek hernia (BH) is the most common one among all congenital diaphragmatic hernias. This is due to incomplete fusion of pleuroperitoneal folds during early fetal development. It remains asymptomatic in many adults. It usually occurs on the left side and is common in males (62%). Open or laparoscopic surgical repair is the treatment of choice. We reported on a rare case of BH in an adult female with intra-thoracic left kidney and splenic flexure of the colon, who presented with non-specific abdominal symptoms. Key message: BH in adults is usually present with vague abdominal symptoms. We advocate the use of the CECT scan of the abdomen in the management of all cases with non-specific abdominal symptoms.
先天性膈疝（CDH）在成人中极为罕见。博赫dalek疝（BH）是所有先天性膈疝中最常见的一种。这是由于胎儿早期发育过程中胸膜腹膜皱襞融合不完全所致。在许多成年人中它仍无症状。它通常发生在左侧，在男性中较为常见（62%）。开放或腹腔镜手术修复是首选的治疗方法。我们报告了一例罕见的成年女性BH病例，其胸腔内有左肾和结肠脾曲，表现为非特异性腹部症状。关键信息：成人BH通常表现为模糊的腹部症状。我们主张对所有有非特异性腹部症状的病例在处理时使用腹部CT增强扫描。
