Fortuitous Discovery of a Bochdalek Hernia in an Adult

Clinical Image

Austin J Radiol. 2021; 8(4): 1137.

Fortuitous Discovery of a Bochdalek Hernia in an Adult

Khadija L*, Hajar A, Jamal EF and Issam E-N

Department of Radiology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco

*Corresponding author: Laasri Khadija, Department of Radiology, Mohammed V Military Teaching Hospital, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco

Received: May 14, 2021; Accepted: June 08, 2021; Published: June 15, 2021

Keywords

Diaphragmatic hernia; Bochdalek hernie; Adult

Clinical Image

Bochdalek hernia is the most common type of congenital diaphragmatic hernia. It is due to a defect in the posterior attachment of the diaphragm muscle, subsequent to a failure of pleuroperitoneal membrane closure in utero.

Bochdalek hernia is often asymptomatic in adults, hence, it is fortuitously discovered as an incidental finding on CT scan. Alternatively, it may be diagnosed only after complications occur, such as empyema, cardiac tamponade and gastrointestinal strangulation.

CT usually demonstrates a fatty mass above the diaphragm (Figure 1: arrow), which may be associated with other organs entrapment. Coronal and sagittal reformatted images show the diaphragmatic defect (Figure 2: arrows).

Figure 1: Axial abdominal CT scan image showing a left sided fat containing Bochdalek hernia (arrow).

    

    
    

    

    Figure 1: Axial abdominal CT scan image showing a left sided fat containing
Bochdalek hernia (arrow).

Figure 2: Coronal and sagittal CT scan images demonstrating fat herniation throughout a posterior diaphragmatic defect (arrow).

    

    
    

    

    Figure 2: Coronal and sagittal CT scan images demonstrating fat herniation
throughout a posterior diaphragmatic defect (arrow).

Citation: Khadija L, Hajar A, Jamal EF and Issam E-N. Fortuitous Discovery of a Bochdalek Hernia in an Adult. Austin J Radiol. 2021; 8(4): 1137.