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J Thorac Cardiovasc Surg 2005;130:1729-1730
© 2005 The American Association for Thoracic Surgery

Brief Communications

Adult Bochdalek hernia complicated with a perforated colon

Department of Thoracic Surgery, 2nd Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China

Received for publication July 11, 2005; accepted for publication August 8, 2005.

^_* Address for reprints: Ying Chai, MD, 88 Jiefang Road, Hangzhou, 310009, China (Email: chai_y@126.com).

The first 20% of the full text of this article appears below.

Bochdalek hernia usually presents in the neonatal period but rarely presents in adulthood. The diagnosis of this disease is not always easy, as is demonstrated in our case. In this study we describe a case of adult Bochdalek hernia complicated with a perforated colon, which was successfully treated by means of video-assisted thoracic surgery (VATS) and laparotomy.

Clinical Summary

In 2005, a 46-year-old woman presented to a local hospital with a 15-day history of unremitting left upper abdominal dull pain. Moreover, the patient had vomited profusely and could not keep down anything for 5 days. On physical examination, the abdomen was soft, with no signs of peritoneal irritation, but reduced breath sounds in the left lower chest were noticed. The chest radiograph (Figure 1) on hospital admission revealed pleural fluid and gas with compression of the left basal lung, causing suspicion of pleural empyema. Then left closed chest drainage was performed. The patient's condition deteriorated on chest radiography (Figure 2) on the second day, which showed an increased area of fluid and air in the left thorax, with mediastinal . . . [Full Text of this Article]

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