Summary:
Congenital Diaphragmatic Hernias (CDH) is a rare
entity with incidence of 1:3000 live births. Late
presentation is unusual and in most cases is diagnosed
in adolescents or early childhood. Asymptomatic
diaphragmatic hernia in the absence of trauma is very
rare in adults. The finding of CDH in adults is mostly
incidental. Left sided hernia i.e. Bochdalek hernia is
more common. It is more commonly associated with other
anomalies. The morbidity and mortality are mainly due
to pulmonary hypoplasia. We report a case of CDH,
posterolateral defect (Bochdalek type), with mild
mediastinal shifting to right side in a young lady, who
was asymptomatic throughout the life and referred to us
for evaluation of incidental findings of chest X-ray
abnormality who was suffering from cholelithiasis. The
surgical approach for the resolution of this pathology is
variable and it depends on the presence and severity of
visceral complications.
Keywords: Congenital diaphragmatic hernia, Bochdalek
hernia, diaphragm.
(J Bangladesh Coll Phys Surg 2018; 36: 175-178)
DOI: http://dx.doi.org/10.3329/jbcps.v36i4.36090