Salajegheh Pouria, Gilani Abolfazl, Yazdi Farzaneh, Sarmadian Roham, Habibzadeh Adrina
Department of Pediatric Hematology & Oncology Kerman University of Medical Sciences Kerman Iran.
Sina Trauma & Surgery Research Center Tehran University of Medical Sciences Tehran Iran.
Clin Case Rep. 2023 Oct 10;11(10):e8039. doi: 10.1002/ccr3.8039. eCollection 2023 Oct.
Bochdalek hernia is a rare condition characterized by the displacement of abdominal contents into the thoracic cavity. Due to the nonspecific nature of symptoms, prompt diagnosis, and management by emergency care providers can be challenging. Treatment of a Bochdalek hernia typically involves the reduction in the herniated contents back into the abdominal cavity. In this case report, we present the case of a 1-year-old girl who presented to the emergency department with a fever and bicytopenia. Further evaluation revealed a Bochdalek hernia, which was successfully managed with surgical intervention. This case highlights the importance of considering a Bochdalek hernia in the differential diagnosis of patients presenting with recurrent nonspecific symptoms (fever and bicytopenia).
博赫达勒克疝是一种罕见病症，其特征为腹腔内容物移位至胸腔。由于症状不具有特异性，急诊医护人员要做出快速诊断并进行处理颇具挑战性。博赫达勒克疝的治疗通常包括将疝出的内容物回纳至腹腔。在本病例报告中，我们呈现了一名1岁女童的病例，该女童因发热和双细胞减少症就诊于急诊科。进一步检查发现了博赫达勒克疝，通过手术干预成功治愈。该病例凸显了在对出现反复非特异性症状（发热和双细胞减少症）的患者进行鉴别诊断时考虑博赫达勒克疝的重要性。
