先天性膈疝主要见于婴儿,由于新生儿呼吸窘迫,死亡率很高。最常见的先天性膈疝是Bochdalek疝,发生在后外侧膈肌,左侧是最常见的影响。然而,先天性膈疝在成人中极为罕见,并且由于其微妙的症状而经常被误诊。因此,我们建议,对于所有突发剧烈疼痛或反复出现胸部和腹部模糊症状的患者,应采用CT增强扫描进行早期筛查和诊断.此病例报告显示,成年男性罕见发生Bochdalek疝气。患者进食后出现非特异性腹部症状。疝气导致左肾移位,脾曲的横结肠,大部分胃进入胸腔。这种移位导致左肺肺不张,达到了产能的五分之三。患者使用腹腔镜和开放手术的组合进行了成功的治疗。进行了两周的后续CT扫描,三个月,一年后,病情稳定,没有并发症。
Congenital diaphragmatic hernias are primarily found in infants and have a high mortality rate due to neonatal respiratory distress. The most common type of congenital diaphragmatic hernia is Bochdalek hernia, which occurs in the posterolateral diaphragm, with the left side being the most commonly affected. However, congenital diaphragmatic hernias are extremely rare in adults and are often misdiagnosed due to their subtle symptoms. Therefore, we suggest that a contrast-enhanced CT scan should be used for early screening and diagnosis in all patients with sudden severe pain or recurrent ambiguous symptoms in the chest and abdomen. This
case report presents a rare occurrence of Bochdalek hernia in an adult male. The patient experienced nonspecific abdominal symptoms after eating. The hernia resulted in the displacement of the left kidney, the transverse colon of the splenic flexure, and most of the stomach into the thoracic cavity. This displacement led to atelectasis of the left lung, which reached three-fifths of its capacity. The patient underwent successful treatment using a combination of laparoscopy and open surgery. Follow-up CT scans conducted two weeks, three months, and one year later revealed a stable condition with no complications.