Lisa D Yang, MD, Richard C Perugini, MD, FACS. University of Massachusetts
Congenital diaphragmatic hernias (CDH) are fairly rare and account for approximately 8% of congential anomalies. While Bochdalek hernias are the most common of CDH, adult presentations of this have incidences reported as low as 0.17%. Therefore diagnosis in adulthood can be fairly difficult. Symptomatic hernias typically occur on the left side and hernia contents most commonly include the colon, stomach, omentum and small bowel. Even more rare is an intra-thoracic kidney found in the hernia defect accounting for incidences less than 0.25%. We report a case of a woman who presented with acute abdominal pain that was found to have a gastric outlet obstruction with a large Bochdalek hernia on the left that contained the left kidney, stomach, tail of pancreas and colon. She was taken to the operating room for a Laparoscopic repair of her Bochdalek hernia along with reduction of its contents and nepropexy of the left kidney. We found that our laparoscopic repair offered a possibility of a durable repair with far lower perioperative morbidity than other surgical approaches that include thoracotomy versus thoracoabdominal methods and much faster recovery times.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80579
Program Number: V115
Presentation Session: Friday Exhibit Hall Video Presentations Session 3 (Non CME)
Presentation Type: EHVideo