The Journal of the Japanese Association for Chest Surgery
Online ISSN : 1881-4158
Print ISSN : 0919-0945
ISSN-L : 0919-0945
Bochdalek hernia in an adult a case report and review of the Japanese literature
Masao SuzukiKazuya IseShunichi IshiiKouichi FujiuAtushi MoriyamaKouichi YanaiRyuzo KannoAkio OishiHitoshi InoueRyoichi Motoki
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1995 Volume 9 Issue 7 Pages 885-890

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Abstract

A 34-year-old female was first found to have an abnormal shadow in her lt lower lung field at the age of 29. At the age of 34, diaphragmatic hernia was diagnosed when she was operated on for uterine myoma. CT scans, roentgenography of the small intestine and Ba-enema revealed a Bochdalek hernia. Hernia was repaired through thoracic approach. Parts of the small and large intestines and greater omentum had herniated into the thoracic cavity without a hernia sac and caused atelectasis of the it lower lobe. We replaced the hernial contents into the abdominal cavity. The defect of the diaphragm was 6×6 cm in the posterolateral region. We closed the defect directly. Post operative recovery was good. Now, two years after operation, there has been no recurrence of the hernia.

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