2021 Volume 71 Issue 1 Pages 53-58
A 77-year-old woman was admitted to our emergency department with nausea and upper abdominal pain for 3 days. An abdominal plain radiograph showed ileus. Computed tomography revealed closed loop sign, whirl sign, and ascites, so an emergency laparotomy was performed with a diagnosis of strangulated ileus. The surgical findings showed a defect in the right diaphragm, and the small intestine was herniated. Therefore, the patient was diagnosed with an incarcerated right sided Bochdalek hernia. The hernia foramen was repaired by direct suture closure and she had an uneventful postoperative course. She was discharged to her home 10 days after the operation and had no recurrence. Right sided Bochdalek hernia of the adult is rare, and we reviewed our experience in light of some literature.
