An adult case of bochdalek hernia wish successful composite-mesh repair

Abstract

An adult Bochdalek hernia is a rare clinical condition. A 74-year-old woman was admitted to our hospital because of left chest pain and appetite loss. A chest x-ray revealed elevation of the left diaphragm and a gastrointestinal gas image in the left lower thorax. Computed tomography (CT) revealed incarceration of the stomach, greater omentum, and spleen into the left lower thorax. The patient was diagnosed as having a Bochdalek hernia. She was treated by laparoscopic surgery. The hernial contents were reduced into the abdominal cavity, and the adhesions between the hernia hilus and the incarcerated organs were detached. Finally, the diaphragmatic defect was covered with a composite mesh. The patient was discharged on the 19^th postoperative day without any complications. At 8 months after the operation, the patient remained asymptomatic. Laparoscopic composite-mesh repair is a safe and less-invasive treatment method for diaphragmatic hernia.