Adult Bochdalek Hernia: Report of a Case

成人Bochdalek氏橫隔膜疝氣：病例報告

黃竹君(Chu-Chun Huang) ； 許晉杰(Chin-Chien Hsu) ； 許正義(Jane-Yi Hsu)

《Formosan Journal of Surgery》 42卷5期 (2009/10) Pp. 281-284

https://doi.org/10.29833/FJS.200910.0007

摘要

Bochdalek橫隔膜疝氣是先天性橫隔膜疝氣最常見的形態，好發於小孩，成人則較少見。Bochdalek橫隔膜疝氣是由於腹部臟器自橫隔膜側後方移位至胸腔。本文報告一例一位27歲男性，呈現出發燒及咳嗽的症狀。理學檢查評估左下肺葉有粗濕囉音，胸剖X光呈現左側肋膜積水，胸部電腦斷層發現大量腹網膜及部份結腸自橫隔膜側後方移位至胸腔。手術初始是以侷限性開胸修補橫隔膜疝氣的方式，由於此橫隔膜缺損修補完全有困難，於是以胸腔鏡輔助手術而完成。病患術後病程平順。

並列摘要

Bochdalek hernia is the most common type of congenital diaphragmatic hernia that occurs predominantly in children, but rarely in adults.1 The Bochdalek hernia occurs when the abdominal contents herniate into the chest cavity through the posterolateral portion of the diaphragm. We present a case of a 27-year-old male who presented with fever and cough. Physical examination disclosed coarse breathing sounds in the left lower lung field. The chest X-rays showed left-side pleural effusion, and computed tomography (CT) of the chest revealed massive herniation of the omentum and partial herniation of the colon into the left pleural cavity through the posterolateral portion of the left hemidiaphragm. The initial approach was a limited thoracotomy for the diaphragmatic hernia. Because of difficulties in complete repair of the diaphragmatic defect, thoracoscopy was used to assist the procedure. The patient had an uneventful postoperative course.

並列關鍵字

Bochdalek hernia ； diaphragmatic hernia ； adults