PDF(Pubmed)
Abstract：
Bochdalek\'s hernia is the most common congenital malformation of the diaphragm with a defect in its posterolateral part. Its clinical manifestation in adulthood is rare. It is often an incidental finding, and its diagnosis may be challenging. A high index of suspicion is necessary, especially in cases presenting with cardiopulmonary or abdominal symptoms and an ambiguous finding on the initial chest X-ray. We present a case of an asymptomatic 50-year-old male patient with a bulky left-sided Bochdalek\'s hernia. Surgical treatment was indicated, and a direct suture of the defect after reduction of the herniated greater omentum, transverse colon, and tail of the pancreas was performed from the upper midline laparotomy. The postoperative course was uneventful, and the patient was discharged on the fifth postoperative day. The management of adult patients with these kinds of hernias in both acute and chronic settings is discussed, and some recommendations are mentioned to minimize unnecessary pitfalls.
摘要：
Bochdalek疝是最常见的先天性diaphragm肌畸形，后外侧部分有缺陷。其成年后临床表现少见。这通常是偶然的发现，它的诊断可能具有挑战性。高度怀疑是必要的，尤其是在出现心肺或腹部症状且初次胸部X线检查发现不明确的情况下。我们介绍了一例无症状的50岁男性患者，患有笨重的左侧Bochdalek\'s疝气。需要手术治疗，并在大网膜疝复位后直接缝合缺损，横结肠,胰腺的尾部从上中线剖腹手术进行。术后进展顺利，患者在术后第五天出院。讨论了在急性和慢性环境中患有此类疝气的成年患者的管理，并提出了一些建议，以尽量减少不必要的陷阱。
