STRANGULATED LEFT BOCHDALEK DIAPHRAGMATIC HERNIA: A LESSON LEARNED
Keywords:Congenital Diaphragmatic Hernia, Strangulation, Complications
AbstractCongenital Bochdalek diaphragmatic hernia (CDH) is the most common embryologic defect of the diaphragm which occurs 1 in 2500–5000 live births. Most commonly CDH presents soon after birth but it can present late in 10–30% of cases, leading to a diagnostic dilemma. Late presenting patients can remain asymptomatic for a variable period before presenting with complications in the form of obstruction or strangulation of gut. Bochdalek diaphragmatic hernia presenting with strangulation of gut is very rare. We report a case of such a rare variety of strangulated Bochdalek left diaphragmatic hernia in an 11-month-old boy which was managed successfully.
Bandre E, Wandaogo A, Ouedraogo I, Napon M, Bere B, Kabre Y, et al. Left posterolateral strangulated congenital diaphragmatic hernia in children: About a case at the Charles de Gaulle Paediatric Teaching Hospital in Ouagadougou (Burkina Faso). Afr J Paediatr Surg 2015;12(1):79–81.
Kella N, Rathi PK, Qureshi MA. Obstructed Bochdalek Diaphragmatic Hernia in a Child Girl. J Coll Physicians Surg Pak 2009;19(4):252–3.
Burki T, Amanullah A, Rehman AU, Ali MN. Late presentation of Bochdalek hernia with intestinal symptoms. J Ayub Med Coll Abbottabad 2002;14(3):27–8.
Rawat JD, Kureel SN, Tandon RK, Tandon S, Wakhlu AK. Obstructed diaphragmatic hernia. J Indian Assoc Pediatr Surg 1999;4(1):34–8.
Singh S, Wakhlu A, Pandy A, Kureel SN, Rawat JD. Delayed presentation of strangulated congenital diaphragmatic hernia: learning from our experience. Hernia 2013;17(3):403–7.