Elsevier

Clinical Imaging

Volume 19, Issue 1, January–March 1995, Pages 40-42
Clinical Imaging

Original article
Bilateral large bochdalek hernias in an adult CT demonstration

https://doi.org/10.1016/0899-7071(94)00023-6Get rights and content

Abstract

Bochdalek hernia is a congenital posterior diaphragmatic defect resulting from failure of the retroperitoneal canal membrane to fuse with the dorsal esophageal mesentery and the body wall. A recent computed tomography study indicated that these defects frequently can be identified on routine chest and abdominal images, and classified them as small, medium, and large, the large ones being identifiable on five or more contiguous axial scans consisting of 1-cm-thick sections. Although the overall prevalence of Bochdalek hernias is 6%, and that of bilateral hernias is 0.9%, to date only a few patients with unilateral or bilateral large hernias have been reported. This article describes an adult with asymptomatic, bilateral, large Bochdalek defects containing herniated retroperitoneal fat.

References (9)

There are more references available in the full text version of this article.

Cited by (21)

  • Large paraesophageal hernia at risk of torsion in an 84-year-old man

    2008, Revista Espanola de Geriatria y Gerontologia
  • Imaging of incidental Bochdalek hernia

    2005, Seminars in Ultrasound, CT and MRI
  • Symptomatic Bochdalek hernia in an octogenarian

    2002, Annals of Thoracic Surgery
    Citation Excerpt :

    A left-sided diaphragmatic defect is present 70% to 90% of the time, thought to arise in part from a differential in the timing of pleuroperitoneal fold fusion between the right and left sides and in part by a protective effect exerted by the liver on the right side. Rarely, hernias present bilaterally or only on the right side [2]. A peritoneal hernia sac is not present in over 85% and also appears dependent on the timing of pleuroperitoneal fold fusion.

  • Adult Bochdalek hernia: An analysis of eight patients

    2015, Turkish Journal of Thoracic and Cardiovascular Surgery
View all citing articles on Scopus
View full text