Open AccessADULT BOCHDALEK HERNIA: AN UNUSUAL PRESENTATION AND DIAGNOSTIC DILEMMA.
Author(s) -
Neeta Shetty,
Vijay P Agrawal,
Ashwin Narasimhaprasad
Publication year - 2015
Publication title -
international journal of advances in scientific research
Language(s) - English
Resource type - Journals
ISSN - 2395-3616
DOI - 10.7439/ijasr.v1i2.1802
Subject(s) - bochdalek hernia , medicine , presentation (obstetrics) , empyema , surgery , pleural effusion , mediastinal shift , pneumothorax , hydropneumothorax , radiology , general surgery , lung , pregnancy , fetus , biology , congenital diaphragmatic hernia , genetics
Bochdalek hernia is a rare condition in adult and usually diagnosis is missed. It is usually mistakenly diagnosed as TB, pleural effusion, empyema, lung cyst and pneumothorax. Delayed presentation is not uncommon. We present a case of 18 year old male patient who was misdiagnosed as having left sided pleural effusion with TB and associated gastritis for three days and later referred to our institution. Diagnosis was established by physical examination, chest x-ray and chest CT- scan. Per operatively a gangrenous ileal segment was seen of about 10 cms which was later resected. The Hernia was later closed with Prolene sutures.