Latif Bagwan
Gateway Clinic and Hospital, India
Title: Laparoscopic Repair of Incarcerated Bochdalek Hernia in Elderly. A Rare Emergency Easily Overlooked
Biography
Biography: Latif Bagwan
Abstract
Congenital posterolateral diaphragmatic defects, such as Bochdalek hernias (BHs), usually present during the neonatal period with respiratory symptoms and are associated with significant mortality. However, a subset of patients with BHs may remain asymptomatic during childhood, and the condition may present as a surgical emergency in adulthood. Surgical repair of the defect is the recommended therapy for all patients with BHs, regardless of the presence of symptoms. Traditionally, the repair of diaphragmatic defects has been performed via laparotomy or thoracotomy, but the use of laparoscopy has challenged the use of these traditional procedures. However, the laparoscopic management of incarcerated BH is rarely reported. In the present paper, we report the case of a patient who presented gastric volvulus that was caused by an incarcerated stomach through a Bochdalek defect and treated using a laparoscopic approach.