Open AccessAn 81-year-old gentleman with symptomatic Bochdalek hernia
Author(s) -
Mohammed Zak Rajput,
P. Marco Fisichella
Publication year - 2013
Publication title -
world journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v5.i7.222
Subject(s) - medicine , bochdalek hernia , hernia , dysphagia , surgery , differential diagnosis , reflux , general surgery , disease , congenital diaphragmatic hernia , pregnancy , fetus , pathology , biology , genetics
An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia.