CASE 271: BOCHDALECK HERNIA, Dr PHAN THANH HẢI, Dr VÕ NGUYỄN THÀNH NHÂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 43 yo,  after a great meal, his comments were vomitting  and epigastric pain.
Emergency  abdomen ultrasound  was nothing abnormal detected (NAD).
Standing  chest abdomen X-rays showed that  left lung pneumonia in suspicion (see  chest X-ray film).

MSCT of chest-abdomen detected left  diaphragm in rupture and the  great omentum  going up to the  lung (see CT foto).

For  make sure  the colon was still  in abdomen,  Xray colon enema was done (see foto).

It was an emergency  case  with no  history of trauma.
Laparo and  thoracoendoscopy detected  a big defected wound  of posterior left  diaphragm;  great omentum  going up to the lung.
It is  BOCHDALEK HERNIA, need to suture for repairing left diaphragm (see foto).

REFERENCE:   anatomy of diaphragm.

History about Bochdalek.