Fatal Outcome in a Right Bochdalek Hernia with Renal Ectopia Diagnosed in Adulthood

Israel Salgado Adame,Luis Roberto Jiménez Hernández,Alberto Manuel González Chávez,Brisa Del Mar Leslie Villanueva Bardales

doi:10.4236/ojts.2021.114012

Abstract

Diaphragmatic hernias may be acquired or congenital. Among congenital hernias, the most common is Bochdalek hernia and eight out of ten Bochdalek hernias occur on the left side. They are usually diagnosed in the paediatric age group, and it is exceedingly rare for the diagnosis to be established in adulthood. Renal ectopy associated with a Bochdalek hernia is extremely rare, and very few cases are reported worldwide. We are reporting a case of a 73-year-old male patient with a right-sided Bochdalek hernia and renal ectopy. In this case, promp diagnosis and treatment could help to reduce the high risk of death in this kind of patients.

Highlights

Diaphragmatic hernias occur because of a defect in the musculature of the diaphragm, which allows the passage of abdominal viscera into the thoracic cavity, causing restrictive pulmonary changes [1]
The most common is Bochdalek hernia and eight out of ten Bochdalek hernias occur on the left side
We are reporting a case of a 73-year-old male patient with a right-sided Bochdalek hernia and renal ectopy

Summary

Introduction

Diaphragmatic hernias occur because of a defect in the musculature of the diaphragm, which allows the passage of abdominal viscera into the thoracic cavity, causing restrictive pulmonary changes [1]. Diaphragmatic hernias are largely divided into two groups [2]: Congenital: anterior (Morgagni) and posterior (Bochdalek). Congenital hernias occur in four out of every 10,000 live births, and they are usually diagnosed in the perinatal stage by ultrasound [1]. The main objective of this article is to present the case of an elder patient with a very rare congenital thoracic condition called Bochdalek’s hernia which required emergency surgical thoracic approach in his adulthood and he died, to reduce the delay in the diagnosis and treatment of associated complications to this we are reporting this case

Case Presentation

Discussion

Findings

Conclusion