Timothy Snow, DO, Marty Harnisch, MD, Dana Portenier, MD. Duke University Medical Center
This presentation will discuss a case of an incarcerated Bochdalek hernia in a 40-year-old adult female. The patient originally presented with her first time episode of left sided abdominal pain and shortness of breath after a transcontinental flight. On radiographic examination to rule out pulmonary embolism, a posterolateral diaphragmatic defect was observed containing a substantial amount of left and transverse colon within her left chest cavity. Urgent operative repair was pursued due to the patient's severe pain and incarcerated colon, as there was a concern for ischemic bowel. The posterolateral defect was identified laparoscopically and the hernia contents were reduced. Due to location and concerns with tension, we elected to repair the defect using a synthetic mesh with biomaterial rather than a primary suture repair. Historically, adult diaphragmatic hernias have been repaired via laparotomy and primarily. This serves as an example of how as the skillset of general surgeons expands, laparoscopic mesh diaphragmatic hernia repair will become more commonplace in practice and in the literature.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94464
Program Number: V377
Presentation Session: Video Loop Day 4
Presentation Type: VideoLoop