Right Sided Bochdalek Hernia with Ureteric Involvement – A Case Report and Review of Management Options

Right Sided Bochdalek Hernia with Ureteric Involvement – A Case Report and Review of Management Options

Author Info

Corresponding Author
Shruthi Ashwin Sridhar
Department of General Surgery, Guy’s and St Thomas’ Hospital NHS Foundation Trust, UK

A B S T R A C T

Ureteric herniation through a diaphragmatic defect in adults (Bochdalek hernia – BH) is rare, with less than 15 cases reported in the literature. Most patients present with non-specific abdominal symptoms with or without worsening of renal function, and therefore, the clinical picture can be masked [1]. Management of ureteric involvement ranges from conservative to reconstructive surgery. We report a case of an elderly (>80-year-old) patient who presented acutely with symptoms mimicking an acute abdomen and on imaging was found to have a BH associated with herniation of right ureter causing hydro-ureter. We managed the patient conservatively, and she improved symptomatically, which was evident from her follow-ups. We provide a detailed case report of this situation as well as discuss the literature on the topic to guide treatment decision-making.

Article Info

Article Type
Case Report and Review of the Literature
Publication history
Received: Tue 01, Dec 2020
Accepted: Wed 16, Dec 2020
Published: Fri 25, Dec 2020
Copyright
© 2021 Shruthi Ashwin Sridhar. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.SCR.2020.12.24