Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case Report
Bochdalek hernia, a rare congenital anomaly of the diaphragm, typically manifests in the pediatric population but can also occur in adults. In the adult population, it presents unique challenges in airway management due to the potential displacement of abdominal organs into the thoracic cavity, resu...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Bali Journal of Anesthesiology |
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| Online Access: | https://doi.org/10.4103/bjoa.bjoa_211_24 |
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| author | Muhamad Aizuddin Bin Ismail Rhendra Hardy Mohamed Zainy Syafiqah Binti Adnan |
| author_facet | Muhamad Aizuddin Bin Ismail Rhendra Hardy Mohamed Zainy Syafiqah Binti Adnan |
| author_sort | Muhamad Aizuddin Bin Ismail |
| collection | DOAJ |
| description | Bochdalek hernia, a rare congenital anomaly of the diaphragm, typically manifests in the pediatric population but can also occur in adults. In the adult population, it presents unique challenges in airway management due to the potential displacement of abdominal organs into the thoracic cavity, resulting in compromised respiratory function. We report the case of a 61-year-old male with a massive left-sided Bochdalek hernia, presenting with upper abdominal pain. Imaging revealed an 8.7-cm defect in the left diaphragm, resulting in herniation of the abdominal viscera into the thoracic cavity, causing a mediastinal and tracheal shift. Emergency surgical repair was conducted, requiring careful airway management, including the use of a bronchial blocker (BB) for lung isolation to safely reduce the herniated organs into the abdominal sac and repair the diaphragmatic defect. Though rare, the incidence of Bochdalek hernia in adults necessitates specific considerations for airway management due to its anatomical complexities and potential for respiratory function compromise. Successful management highlights the need for thorough preoperative planning and inter-team communication in such complex scenarios. This case demonstrates the challenges and critical considerations in managing adult Bochdalek hernia, emphasizing the importance of tailored airway management strategies and coordinated care to optimize patient outcomes in such rare disease cases. |
| format | Article |
| id | doaj-art-040b432ffae441a78c3c843cf1d6e556 |
| institution | Kabale University |
| issn | 2549-2276 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Bali Journal of Anesthesiology |
| spelling | doaj-art-040b432ffae441a78c3c843cf1d6e5562025-01-17T10:42:56ZengWolters Kluwer Medknow PublicationsBali Journal of Anesthesiology2549-22762024-12-018424324610.4103/bjoa.bjoa_211_24Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case ReportMuhamad Aizuddin Bin IsmailRhendra Hardy Mohamed ZainySyafiqah Binti AdnanBochdalek hernia, a rare congenital anomaly of the diaphragm, typically manifests in the pediatric population but can also occur in adults. In the adult population, it presents unique challenges in airway management due to the potential displacement of abdominal organs into the thoracic cavity, resulting in compromised respiratory function. We report the case of a 61-year-old male with a massive left-sided Bochdalek hernia, presenting with upper abdominal pain. Imaging revealed an 8.7-cm defect in the left diaphragm, resulting in herniation of the abdominal viscera into the thoracic cavity, causing a mediastinal and tracheal shift. Emergency surgical repair was conducted, requiring careful airway management, including the use of a bronchial blocker (BB) for lung isolation to safely reduce the herniated organs into the abdominal sac and repair the diaphragmatic defect. Though rare, the incidence of Bochdalek hernia in adults necessitates specific considerations for airway management due to its anatomical complexities and potential for respiratory function compromise. Successful management highlights the need for thorough preoperative planning and inter-team communication in such complex scenarios. This case demonstrates the challenges and critical considerations in managing adult Bochdalek hernia, emphasizing the importance of tailored airway management strategies and coordinated care to optimize patient outcomes in such rare disease cases.https://doi.org/10.4103/bjoa.bjoa_211_24adultairway managementcongenitaldiaphragmatichernias |
| spellingShingle | Muhamad Aizuddin Bin Ismail Rhendra Hardy Mohamed Zainy Syafiqah Binti Adnan Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case Report Bali Journal of Anesthesiology adult airway management congenital diaphragmatic hernias |
| title | Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case Report |
| title_full | Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case Report |
| title_fullStr | Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case Report |
| title_full_unstemmed | Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case Report |
| title_short | Atraumatic Massive Left-sided Bochdalek Hernia in Adulthood: A Case Report |
| title_sort | atraumatic massive left sided bochdalek hernia in adulthood a case report |
| topic | adult airway management congenital diaphragmatic hernias |
| url | https://doi.org/10.4103/bjoa.bjoa_211_24 |
| work_keys_str_mv | AT muhamadaizuddinbinismail atraumaticmassiveleftsidedbochdalekherniainadulthoodacasereport AT rhendrahardymohamedzainy atraumaticmassiveleftsidedbochdalekherniainadulthoodacasereport AT syafiqahbintiadnan atraumaticmassiveleftsidedbochdalekherniainadulthoodacasereport |