Abstract
The patient was a 12-year-old girl who visited the pediatric department of our hospital with chief complaints of abdominal pain and vomiting. Tenderness was observed in the entire upper abdomen, and plain thoracoabdominal X-ray and thoracoabdominal CT confirmed a large amount of gastrointestinal gas in the left pleural cavity. The patient was diagnosed with intestinal obstruction caused by diaphragmatic hernia and underwent emergency laparotomy on the day of admission. Findings included a Bochdalek hernia in which parts of the transverse colon,descending colon, jejunum and greater omentum had prolapsed into the pleural cavity through a hernial orifice measuring approximately 5×3 cm in the lateral posterior region of the left side of the diaphragm. Surgery was completed by closing the hernia orifice using an interrupted suture. The patient followed a favorable postoperative course and was discharged on day 7.
The patient indicated in an interview that she had engaged in vigorous abdominal exercise from the day before admission, and this was thought to have caused an increase in abdominal pressure that led to herniation.
