PDF(Pubmed)
Abstract：
Bochdalek hernias are rare diaphragmatic hernias most commonly seen in pediatric populations. Adults with this condition may be asymptomatic or present with gastrointestinal symptoms such as abdominal pain, pressure, choking, or dysphagia. Computed tomography imaging is a gold standard in diagnosing the condition. The definitive treatment is surgery, recommended and encouraged for asymptomatic patients as well to reduce the risk of future complications. Whilst the approach to surgical management differs on a case-by-case basis, the main goal is to reduce the herniating organ and repair the defect. It is important to note that in severe cases, intestinal obstruction and strangulation may occur. We present a unique case of this very phenomenon in a patient diagnosed and treated as a case of strangulated Bochdalek hernia. We aim to highlight the importance of diagnosing this condition as clinical symptoms may be non-specific, and rapid surgical intervention is necessary.
摘要：
Bochdalek疝是最常见于儿科人群的罕见膈疝。患有这种疾病的成年人可能无症状或存在胃肠道症状，如腹痛，压力,窒息,或者吞咽困难.计算机断层扫描成像是诊断病情的金标准。最终的治疗方法是手术,建议并鼓励无症状患者减少未来并发症的风险。虽然手术管理的方法因个案而异，主要目标是减少疝器官和修复缺损。重要的是要注意，在严重的情况下，可能发生肠梗阻和绞窄。我们在诊断和治疗为绞窄性Bochdalek疝气的患者中提出了这种现象的独特案例。我们的目标是强调诊断这种情况的重要性，因为临床症状可能是非特异性的，快速手术干预是必要的。
