• Tariq Burki
  • Amir Amanullah
  • Atta Ur Rehman
  • Mian Naushad Ali


Bochdalek hernia is a rare condition that usually presents in the neonatal age. Rarely it presents late and is usually misdiagnosed. We came across a Bochdalek hernia, which presented at the age of 15 years and was initially misdiagnosed as pulmonary tuberculosis. The case history, diagnosis and management of this condition alongwith literature review are presented here.


Detti L, Mari G, Ferguson JE. Colour doppler ultrasonography of the superior mesenteric artery for prenatal ultrasonographic diagnosis of a left sided congenital diaphragmatic hernia. J Ultrasoun Med 2001; 20(6): 689-92.

Charles JH, Peter WD. Congenital diaphragmatic hernia and eventration. In O'Niel JA, Row MI, Grosfeld JL, Fonkalsrud EW, Coran AG, editors; Pediatric Surgery, Philadelphia, Mosby, 1998, pp 819-832.

Thomas S, Kapur B. Adult Bochdalek hernia– Clinical features, management and results of treatment. Jpn J Surg 1991; 21(1): 114-9.

Langer JC. Congenital diaphragmatic hernia. Chest Surg Clin N Am 1998; 8(2): 295-314.

Mullins ME, Stein J, Saini SS, Mueller PR. Prevalence in incidental Bochdalek's Hernia in a large adult population. Am J Roentgenol 2001; 177(2): 363-6.

Gale ME. Bochdalek's hernia: prevalence and CT characteristics. Radiology 1985; 156(2): 449-52.

Ozturk H, Karnak I, Sakarya MT, Setenkursan S. Late presentation of Bochdalek hernia: Clinical and radiological aspects. Pediatr Pulmonl 2001; 31(4): 306-10.

Chu SM, Hsieh WS, Lin JN, Yan PH, Fu RH, Kuo CR. Treatment and outcome of congenital diaphragmatic hernia. J Farmos Med Assoc 2000; 99(11): 844-7.

Zenda T, Kezaki C, Mori Y, Miyamoto S, Nakashima A. Adult right sided Bochdalek hernia facilitated by co existent hepatic hypoplasia. Abdom Imaging 2000; 25(4): 394-6.

Al-Emadi M, Helmy I, Nada MA, Al-Jabbar H. Laparoscopic repair of a Bochdalek hernia in an adult. Surg Laprosc Endosc Percutan Tech 1999; 9(6): 423-5.