Laparoscopic surgery for a Bochdalek hernia triggered by pregnancy in an adult woman: A case report

Shotaro Matsudera; Masanobu Nakajima; Masakazu Takahashi; Hiroto Muroi; Maiko Kikuchi; Yosuke Shida; Keisuke Ihara; Satoru Yamaguchi; Kinro Sasaki; Takashi Tsuchioka; Hiroyuki Kato

doi:10.1016/j.ijscr.2018.04.028

Laparoscopic surgery for a Bochdalek hernia triggered by pregnancy in an adult woman: A case report

Int J Surg Case Rep. 2018:48:10-15. doi: 10.1016/j.ijscr.2018.04.028. Epub 2018 May 1.

Affiliations

¹ First Department of Surgery, Dokkyo Medical University, Tochigi, Japan. Electronic address: matsu-s@dokkyomed.ac.jp.
² First Department of Surgery, Dokkyo Medical University, Tochigi, Japan.

Abstract

Introduction: A Bochdalek hernia (BH) is a type of congenital diaphragmatic hernia. We herein describe an adult woman with a BH triggered by pregnancy and treated by laparoscopic surgery.

Presentation of case: A 26-year-old woman was referred to our hospital because of abdominal pain and dyspnea resulting from a left diaphragmatic hernia. She was diagnosed with a BH and underwent laparoscopic surgery. Her postoperative progress was satisfactory, and no recurrence was found at follow-up approximately 1 year later.

Discussion: A recently published study reviewing detailed cases of laparoscopic and/or thoracoscopic repair of adult BH from 1999 to 2016 identified 30 cases. A laparoscopic approach for treatment of BH has recently attracted increasing interest.

Conclusion: Laparoscopic surgery can be safely performed on adults with BH without complications.

Keywords: Adult Bochdalek hernia; Case report; Laparoscopic surgery; Mesh repair.