A CASE OF ADULT-TYPE BOCHDALEK HERNIA PRESENTED WITH INTUSSUSCEPTION

Abstract

A case of asymptomatic Bochdalek hernia in an adult is reported. An 80-year-old man complained of abdominal pain while he was hospitalized in the department of psychiatry in our hospital. After several examinations in the department of internal medicine, he was diagnosed with having intussusception and right side diaphragmatic hernia. When we enforced the jejunectomy at surgery for the former, we found a dorsolateral defect of the right side diaphragm through which the colon prolapsed to the thoracic cavity. Late stage adult Bochdalek hernia is relatively rare, and silent cases of the disease which is asymptomatic when it is detected are so rare that only three cases including the present case have been reported in Japan.