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J Thorac Cardiovasc Surg 2008;135:1396-1397
© 2008 The American Association for Thoracic Surgery
Brief Communication |
Department of Cardiothoracic Surgery, Newcross Hospital, Royal Wolverhampton NHS Trust, Wolverhampton, United Kingdom
Received for publication November 27, 2007; accepted for publication January 13, 2008. * Address for reprints: Deborah K. Harrington, MD, MRCS, Department of Cardiothoracic Surgery, Newcross Hospital, Royal Wolverhampton NHS Trust, Wolverhampton, West Midlands WV10 0QP. (Email: dkharrington@hotmail.com).
| The first 20% of the full text of this article appears below. |
Posterolateral diaphragmatic hernias (Bochdalek) are a common congenital anomaly usually presenting in the neonatal period or infancy. Although well documented, their presentation in adulthood is uncommon.1-3
We describe the case of an adult Bochdalek hernia presenting with acute pancreatitis and intermittent gastric volvulus.
Clinical Summary
A 35-year-old Philippino woman who was congenitally deaf and mute presented with a 1-day history of upper abdominal pain and vomiting. There was no history of trauma, and her only medical history was of childhood asthma. She was noted to have upper abdominal tenderness and reduced air entry and bowel sounds present in the left side of the chest. Her initial serum amylase was 778 U/L, and chest x-ray revealed loops of bowel in the lower left side of the chest (
Figure 1). The patient was treated with intravenous fluids, nasogastric aspiration, and analgesia;
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