Abdou Niasse¹*, Mouhamadou Lamine Gueye², Papa Mamadou Faye³, Abdourahmane Ndong⁴, Abdoulaye Ndiaye⁵ and Ibrahima Konate⁴

¹General Surgeon in General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Sénégal
²General Surgeon in Ouakam Military Hospital, Senegal
³General Surgeon, General Surgery Departement of Dalal Jamm Hospital, Dakar, Sénégal
⁴General Surgeon, General Surgery Departement of Regional Hospital of Saint-Louis, Sénégal
⁵General Surgeon in General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Sénégal

*Corresponding Author: Abdou Niasse, General Surgeon in General Surgery Unit of Cheikh Ahmadoul Khadim Hospital in Touba, Sénégal.

Received: December 20, 2023; Published: January 03, 2024

Abstract

A rare pathology in adults, Bochdalek's hernia is a protrusion of abdominal viscera into the thorax through the posterolateral hiatus of the diaphragm. Often asymptomatic and discovered by chance, the risk of incarceration of loops remains an indication for reconstructive surgery. We report 2 cases of Bochdalek's hernia having motivated a diaphragmatic plication.

Observation 1: This was a 76-year-old patient, followed for gastric cancer, in whom the extension assessment allowed the discovery of a left Bochdalek diaphragmatic hernia fortuitously containing the tumoral stomach, spleen, colon and omentum. He underwent a gastrectomy associated with a diaphragmatic plication. The suites were simple.

Observation 2: This was a 64-year-old patient with hypertension under treatment, followed for a long time for recurrent left pneumonia. The radiological workup revealed a Bochdalek's hernia containing the stomach, colon and omentum. She benefited from a diaphragmatic plication. The consequences were marked by basal pleurisy which had progressed well with corticosteroids and respiratory physiotherapy.

Conclusion: The cure of a diaphragmatic hernia should always be considered in adults even if its discovery is accidental during surgical exploration because of the risk of incarceration and strangulation of the abdominal viscera.

Keywords: Bochdalek's Hernia; Diaphragmatic Hernia; Diaphragmatic Plication; Phrenorrhaphy

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Citation

Citation: Abdou Niasse., et al. “Bochdalek's Left Diaphragmatic Hernia". Acta Scientific Clinical Case Reports 5.2 (2024): 17-20.

Copyright

Copyright: © 2024 Abdou Niasse., et al. 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.