Peri operative management of an adult with Bochdalek hernia posted for diaphragmatic repair - A case report
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 3
Abstract
Background: Congenital diaphragmatic hernia results from incomplete closure of pleuroperitoneal fold during embryonic development which occurs around 8th to 10th week of gestation. Bochdalek hernia occurs as a result of defect in fusion of posterolateral part of diaphragm through which abdominal contents herniate into thoracic cavity. Left sided Bochdalek hernia is more common. Usually diagnosis is made during neonatal period. Presentation in adulthood is rare. Case presentation: This case report presents the anesthetic management of an elderly male with history of dyspnoea, orthopnoea, abdominal distension and was diagnosed to have left Bochdalek hernia with type II respiratory acidosis and corpulmonale who underwent laparotomy and diaphragmatic hernia repair. Conclusion: Diaphragmatic hernias are rare among adult population and hence arriving at correct diagnosis, proper preoperative evaluation, intra operative and post operative management is very crucial in preventing complications and improving the outcome
Authors and Affiliations
Prathibha Nair PU, Anand S, LailuMathews .
Keywords
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- EP ID EP616936
- DOI 10.26611/10151038
- Views 176
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