Right Sided Bochdalek Hernia with Ureteric Involvement – A Case Report and Review of Management Options
Corresponding AuthorShruthi 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 . 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 TypeCase Report and Review of the Literature
Publication historyReceived: Tue 01, Dec 2020
Accepted: Wed 16, Dec 2020
Published: Fri 25, Dec 2020
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