A Surgical Case of Adult Bochdalek Hernia Causing Obstructive Jaundice

Takashi Masuda and Akihiko Kuwahara

Departments of Surgery, Tsukumi Central Hospital

A 80-year-old woman followed up for idiopathic abdominal pain, vomiting, and hepatic dysfunction that immediately improved in conservative therapy was admitted when she developed jaundice. Computed tomography showed an enlarged gallbladder and intrahepatic biliary dilation suggesting obstructive jaundice and a right Bochdalek hernia. Incarceration of the hernia was suspected when her symptoms worsened despite conservative treatment, necessitating emergency surgery. A portion from the gastric antrum to 2^nd portion of the duodenum was incarcerated in the right Bochdalek foramen. We repaired the herniation and closed the right Bochdalek foramen. Her postoperative course was uneventful and without symptom recurrence.

Key words
adult Bochdalek hernia, obstructive jaundice

Reprint requests
Takashi Masuda Departments of Surgery, Tsukumi Central Hospital
6011 Chinu, Tsukumi, 879-2401 JAPAN

Accepted
March 28, 2007

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