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  • Title: Right-sided Bochdalek hernia obstructing in an adult: case report and review of the literature.
    Author: Rout S, Foo FJ, Hayden JD, Guthrie A, Smith AM.
    Journal: Hernia; 2007 Aug; 11(4):359-62. PubMed ID: 17342385.
    Abstract:
    Bochdalek hernias on the right side of the diaphragm are very rarely diagnosed in adults. We review a case of a 35-year-old female who presented acutely with intestinal obstruction. Plain and cross-sectional imaging identified a large right-sided Bochdalek hernia, containing colon, causing a mechanical obstruction and, surprisingly, concurrent appendicitis. The patient underwent an emergency laparotomy. At surgery the colon was reduced and was viable. The diaphragmatic defect was repaired using non-absorbable sutures and an appendicectomy was then performed for purulent appendicitis. She made an uneventful recovery and remains well at 9-month follow-up. We discuss what we believe to be the first reported case of an obstructed right-sided Bochdalek's hernia associated with appendicitis in an adult and review the published literature on this rare condition.
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