Surgical Treatment and Postoperative Course of Late-onset Bochdalek Hernia

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.

Geç Bulgu Veren Bochdalek Hernisinde Cerrahi Tedavi ve Sonrasý

Bochdalek hernisi diyaframdaki posterolateral defektten abdominal organlarýn toraks boþluðuna girmesi sonucu geliþen doðumsal bir hastalýktýr. Gebeliðin 8. haftasýnda plöroperitoneal membranýn septum transversum ile füzyonundaki bozukluk sonucu oluþtuðu düþünülmektedir. Defekt %70-90 sol taraftadýr. Olgularýn çoðunluðu doðduktan sonra solunum sýkýntýsý ile klinik bulgu verir ve eriþkin yaþa kadar semptomsuz seyir göstermesi oldukça nadir bir durumdur. Bu yazýda, yirmi yaþýnda nefes darlýðý ve göðüs aðrýsý þikâyetleriyle kliniðimize gelen ve yapýlan tetkiklerinde Bochdalek hernisi tanýsý alan hastanýn cerrahisi ve sonrasý takibinin anlatýldýðý bir olgu sunulmaktadýr.