Abstract
Background: Bochdalek hernia is a congenital defect on posterolateral diaphragm with an abnormal connection between the thoracic cavity and the abdominal cavity. This disease causes protrusion of abdominal organs into the thoracic cavity. Case: an 8-day-old baby girl admitted to hospital with shortness of breath 24 hours after delivered. The baby was born spontaneously assisted by midwife. Upon born, the baby was crying strongly and meconium came out 2 hours after birth. On physical examination, the abdomen was inspected flat. Darm contour and darm steifung was observed, and peristaltic sound was heard on left lung. Radiological examination demonstrated a diaphragmatic hernia with ileus obstruction. The patient underwent laparatomy and stomach, ileum, transverse colon, and spleen, was found on foramen Bochdalek. Post-surgery chest X Ray showed favourable result. Ten days after treatment, the patient was discharged in a good condition with no respiratory or digestive problems. After 1 months the patient’s condition remained good and there were no respiratory or digestive complaints. Conclusion: In a rare case like Bochadalek hernia, laparotomy performed as a promising attempt to return the anatomic position of organ.
Highlights
Bochdalek hernia is a congenital defect on posterolateral diaphragm with an abnormal connection between the thoracic cavity and the abdominal cavity, resulting in the protrusion of the abdominal organs into the thoracic cavity.[1]
Bochdalek hernia diagnosed from anamnesis, physical examination, investigation especially chest x-ray and OMD.[6]
Bochdalek hernia (Figure 3) is a congenital defect on posterolateral diaphragm developing an abnormal connection between the thoracic cavity and the abdominal cavity
Summary
Bochdalek hernia is a congenital defect on posterolateral diaphragm with an abnormal connection between the thoracic cavity and the abdominal cavity, resulting in the protrusion of the abdominal organs into the thoracic cavity.[1]. Charles et al has recommended a delayed abdominal muscle closure In this case, it will be presented regarding the management of Bochdalek hernia in children. The inlet of foramen Bochdalek was seen released and re-inserted the content of the hernia consisting ileum and part of colon to the inside of the abdomen cavity (Figure 2). 80-90% cases of Bochdalek hernia occur on the left side and are very rare in adults In this case, a large defect in the left posterolateral diaphragm (Bochdalek foramina) was encountered with the content of ileum and part of colon.[4,5] Bochdalek hernia diagnosed from anamnesis, physical examination, investigation especially chest x-ray and OMD.[6]. Follow up for 1 months shows patient’s good condition and neither disturbance was observed in the digestive system nor respiratory system
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