Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications

Abstract Background Bochdalek hernia in an adult is very rare and often needs an immediate surgical repair for the herniation. Although its etiology and surgical techniques have frequently been reported, perioperative complications, especially cardiopulmonary problems, remain unknown. We reported tw...

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Main Authors: Masayuki Akita, Nobuaki Yamasaki, Taiichiro Miyake, Kazuya Mimura, Eri Maeda, Tohru Nishimura, Koichiro Abe, Akihito Kozuki, Kunio Yokoyama, Hiroaki Kominami, Tomohiro Tanaka, Manabu Takamatsu, Kunihiko Kaneda
Format: Article
Language:English
Published: SpringerOpen 2020-04-01
Series:Surgical Case Reports
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Online Access:http://link.springer.com/article/10.1186/s40792-020-00833-w
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author Masayuki Akita
Nobuaki Yamasaki
Taiichiro Miyake
Kazuya Mimura
Eri Maeda
Tohru Nishimura
Koichiro Abe
Akihito Kozuki
Kunio Yokoyama
Hiroaki Kominami
Tomohiro Tanaka
Manabu Takamatsu
Kunihiko Kaneda
author_facet Masayuki Akita
Nobuaki Yamasaki
Taiichiro Miyake
Kazuya Mimura
Eri Maeda
Tohru Nishimura
Koichiro Abe
Akihito Kozuki
Kunio Yokoyama
Hiroaki Kominami
Tomohiro Tanaka
Manabu Takamatsu
Kunihiko Kaneda
author_sort Masayuki Akita
collection DOAJ
description Abstract Background Bochdalek hernia in an adult is very rare and often needs an immediate surgical repair for the herniation. Although its etiology and surgical techniques have frequently been reported, perioperative complications, especially cardiopulmonary problems, remain unknown. We reported two adults with Bochdalek hernia and reviewed the published literatures with a focus on these issues. Case presentation We experienced two adult cases of Bochdalek hernia with gastrointestinal strangulation. One case had massive herniation of the stomach, colon, spleen, and pancreas in the left chest, causing repeated vomiting. The other had a right-side hernia with strangulation of the colon. We successfully performed emergency repairs of these diaphragmatic hernias without any postoperative complications. Conclusions Our literature review revealed that life-threatening cardiopulmonary complications, such as empyema or cardiac arrest caused by the tamponade effect of the herniated viscera, sometimes occurred in patients with Bochdalek hernia. These complications were found in Bochdalek hernia with gastrointestinal strangulation.
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spelling doaj.art-9a161d718e974a4f9b74e8122cea19a82022-12-21T19:48:52ZengSpringerOpenSurgical Case Reports2198-77932020-04-01611610.1186/s40792-020-00833-wBochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complicationsMasayuki Akita0Nobuaki Yamasaki1Taiichiro Miyake2Kazuya Mimura3Eri Maeda4Tohru Nishimura5Koichiro Abe6Akihito Kozuki7Kunio Yokoyama8Hiroaki Kominami9Tomohiro Tanaka10Manabu Takamatsu11Kunihiko Kaneda12Department of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalDepartment of Surgery, Kakogawa Central City HospitalAbstract Background Bochdalek hernia in an adult is very rare and often needs an immediate surgical repair for the herniation. Although its etiology and surgical techniques have frequently been reported, perioperative complications, especially cardiopulmonary problems, remain unknown. We reported two adults with Bochdalek hernia and reviewed the published literatures with a focus on these issues. Case presentation We experienced two adult cases of Bochdalek hernia with gastrointestinal strangulation. One case had massive herniation of the stomach, colon, spleen, and pancreas in the left chest, causing repeated vomiting. The other had a right-side hernia with strangulation of the colon. We successfully performed emergency repairs of these diaphragmatic hernias without any postoperative complications. Conclusions Our literature review revealed that life-threatening cardiopulmonary complications, such as empyema or cardiac arrest caused by the tamponade effect of the herniated viscera, sometimes occurred in patients with Bochdalek hernia. These complications were found in Bochdalek hernia with gastrointestinal strangulation.http://link.springer.com/article/10.1186/s40792-020-00833-wBochdalek herniaAdultPulmonary complications
spellingShingle Masayuki Akita
Nobuaki Yamasaki
Taiichiro Miyake
Kazuya Mimura
Eri Maeda
Tohru Nishimura
Koichiro Abe
Akihito Kozuki
Kunio Yokoyama
Hiroaki Kominami
Tomohiro Tanaka
Manabu Takamatsu
Kunihiko Kaneda
Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications
Surgical Case Reports
Bochdalek hernia
Adult
Pulmonary complications
title Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications
title_full Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications
title_fullStr Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications
title_full_unstemmed Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications
title_short Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications
title_sort bochdalek hernia in an adult two case reports and a review of perioperative cardiopulmonary complications
topic Bochdalek hernia
Adult
Pulmonary complications
url http://link.springer.com/article/10.1186/s40792-020-00833-w
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