Ge� Bulgu Veren Bochdalek Hernisinde Cerrahi Tedavi ve Sonras�

D�ngel, �sa; Duman, Levent; Yazkan, Rasih; Cama�, Hasan Ekrem; B�lb�l, Mahmut

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Ge� Bulgu Veren Bochdalek Hernisinde Cerrahi Tedavi ve Sonras� [Respir Case Rep]

Respir Case Rep. 2013; 2(3): 121-125 | DOI: 10.5505/respircase.2013.83803

Ge� Bulgu Veren Bochdalek Hernisinde Cerrahi Tedavi ve Sonras�

�sa D�ngel¹, Levent Duman², Rasih Yazkan¹, Hasan Ekrem Cama�¹, Mahmut B�lb�l³
¹S�leyman Demirel �niversitesi T�p Fak�ltesi, G��s Cerrahisi Anabilim Dal�
²S�leyman Demirel �niversitesi T�p Fak�ltesi, �ocuk Cerrahisi Anabilim Dal�
³S�leyman Demirel �niversitesi T�p Fak�ltesi, Genel Cerrahi Anabilim Dal�

Bochdalek hernisi diyaframdaki posterolateral defektten abdominal organlar�n toraks bo�lu�una girmesi sonucu geli�en do�umsal bir hastal�kt�r. Gebeli�in 8. haftas�nda pl�roperitoneal membran�n septum transversum ile f�zyonundaki bozukluk sonucu olu�tu�u d��n�lmektedir. Defekt %70-90 sol taraftad�r. Olgular�n �o�unlu�u do�duktan sonra solunum s�k�nt�s� ile klinik bulgu verir ve eri�kin ya�a kadar semptomsuz seyir g�stermesi olduk�a nadir bir durumdur. Bu yaz�da, yirmi ya��nda nefes darl�� ve g��s a�r�s� �ik�yetleriyle klini�imize gelen ve yap�lan tetkiklerinde Bochdalek hernisi tan�s� alan hastan�n cerrahisi ve sonras� takibinin anlat�ld�� bir olgu sunulmaktad�r.

Anahtar Kelimeler: Bochdalek hernisi, Diyafram, Eri�kin, Cerrahi

Surgical Treatment and Postoperative Course of Late-onset Bochdalek Hernia

�sa D�ngel¹, Levent Duman², Rasih Yazkan¹, Hasan Ekrem Cama�¹, Mahmut B�lb�l³
¹Department Of Thoracic Surgery, S�leyman Demirel University, Medical Faculty
²Department Of Pediatric Surgery, S�leyman Demirel University, Medical Faculty
³Department Of General Surgery, S�leyman Demirel University, Medical Faculty

A Bochdalek hernia is a congenital malformation characterized by a defect in the posterolateral diaphragm, in which the abdominal viscera migrate into the chest. It is thought to be the result of a fusion defect between the pleuroperitoneal fold and the septum transversum in the eighth week of gestation. Left-sided lesions account for 70-90% of the cases. The majority of these patients that present with respiratory distress after delivery, and progress asymptomatically until adulthood are extremely rare clinical entities. The current study reports a case of a 20-year-old male with a Bochdalek hernia, who presented with complaints of respiratory distress and left chest pain, and provides information about the surgical procedure and post-operative follow-up of the patient.

Keywords: Bochdalek hernia, Diaphragm, Adult, Surgery

Sorumlu Yazar: �sa D�ngel, T�rkiye
Makale Dili: T�rk�e

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