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CASE REPORT
Year : 2018  |  Volume : 7  |  Issue : 2  |  Page : 80-82

Unusual presentation of Bochdalek hernia in an adult


Department of Pulmonary Medicine, Narayana Medical College, Nellore, Andhra Pradesh, India

Correspondence Address:
Karanam Gowrinath
Professor, Department of Pulmonary Medicine, Narayana Medicine College, Nellore, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCSR.JCSR_34_18

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Left-sided Bochdalek hernia (BH) containing bowel loops and kidney in an adult is very rare and difficult to suspect if the symptoms are mild and non-specific. BH may also cause diagnostic confusion if clinical examination and routine postero-anterior chest radiograph findings mimic lung disease like pleural effusion. We report the case of an adult patient with BH who presented with radiographic appearance mimicking pleural effusion caused by the configuration of omentum with bowel loops in the left hemithorax. A lateral chest radiograph or chest ultrasound may help to avoid misdiagnosis and avoid management errors.


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