Abstract
An 87-year-old female was admitted to the hospital because of vomiting. She was diagnosed as having diaphragmatic hernia with gastric volvulus based on chest radiography, computed tomography (CT), and a gastrografin study. Endoscopic repositioning of the gastric volvulus was initially attempted due to the poor general condition of the patient. The omentum, left kidney and colon had herniated through a left lateral defect in the left diaphragm (foramen of Bochdalek), and the stomach was rotated. The defect was covered with the stomach, and stomach was fixed to the abdominal wall, due to the high risk of thoracotomy. The patient was discharged without complications. This report is being presented as that of a case which was difficult to treat because of the patient's poor general condition. In such patients, minimally invasive surgery should be considered for the treatment of a Bochdalek hernia, which generally requires a thoracotomy.
