Bochdalek Hernia with Incarceration of Large Bowel

Abstract

Congenital Diaphragmatic Hernia (CDH) is a condition characterized by developmental defect in the diaphragm with herniation of the abdominal contents through the defect into the thorax. Late presentation of CDH is around 5 to 25%. This is a report of a young female presenting with acute abdomen and left- sided chest pain. Laparotomy revealed a Bochdalek Hernia with incarceration of large bowel. The contents were reduced, gangrenous bowel and omentum resected and intestinal continuity restored. Acute intestinal obstruction with respiratory embarrassment warrants a high index of suspicion. An adequate resuscitative measure with urgent surgical intervention and ventilatory support is the key to a successful outcome.

Keywords

• Bochdalek
• Diaphragm
• Acute Abdomen
• Chest Pain