Alper AVCI, Serdar ONAT, Refik ÜLKÜ, Cemal ÖZÇELİK

Right-sided Bochdalek hernia in an adult: A case report

Bochdalek doğuştan sağ diyafram hernisi yetişkinlerde nadir görülmektedir. Bunların da büyük çoğunluğu asemptomatiktir. Bu yazıda karın ağrısı ve nefes darlığı yakınmaları ile başvuran 21 yaşındaki bir erkek hastadaki sağ taraflı Bochdalek hernisi olgusu sunuldu. Olgunun göğüs grafisinde sağ taraflı diyafram hernisine işaret eden özellikler görüldü. Bu tanı bilgisayarlı tomografi ile doğrulandı. Sağ posterolateral torakotomi uygulandı ve kolon ile sağ böbreğin herniye olduğu 10 cm'lik bir posterolateral diyafragmatik defekt saptandı. Ameliyat sırasında kolon ve sağ böbrek peritoneal boşluğa indirildi ve diyafragmatik defekt emilmeyen dikişler ile onarıldı. Hastanın iyileşme sürecinde sorun yaşanmadı. Hastanın altıncı ay kontrolünde sağlıklı olduğu saptandı.

Bir yetişkinde sağ taraf Bochdalek hernisi: Olgu sunumu

Congenital right diaphragmatic hernia of Bochdalek rarely occurs in adults. Most of them are asymptomatic. In this article, we report a case of a 21-year-old male with rightsided Bochdalek diaphragmatic hernia who presented with abdominal pain and dyspnea. The chest radiography showed features suggestive of right-sided diaphragmatic hernia. This was confirmed on a computed tomography. The patient underwent right posterolateral thoracotomy whereby a 10 cm posterolateral diaphragmatic defect with herniation of the colon and kidney through the opening was found. During surgery the colon and right kidney were reduced into peritoneal cavity, and the diaphragmatic defect was repaired with non-absorbable sutures. The patient's recovery was uneventful. He remained well at six-month follow-up.

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