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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Format: | Article |
Language: | English |
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SpringerOpen
2020-04-01
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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. |
first_indexed | 2024-12-20T07:12:37Z |
format | Article |
id | doaj.art-9a161d718e974a4f9b74e8122cea19a8 |
institution | Directory Open Access Journal |
issn | 2198-7793 |
language | English |
last_indexed | 2024-12-20T07:12:37Z |
publishDate | 2020-04-01 |
publisher | SpringerOpen |
record_format | Article |
series | Surgical Case Reports |
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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