Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case Report
Bochdalek hernias are a rare form of diaphragmatic hernia that are usually asymptomatic and typically observed in children. In adults, they are rare and often detected incidentally through imaging. Acute gastric torsion is an uncommon condition in clinical practice, and without timely intervention,...
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JCDR Research and Publications Private Limited
2025-07-01
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| author | Xinxi Yang Shihong Li Pan Nie Kehao Liu Kang Hou |
| author_facet | Xinxi Yang Shihong Li Pan Nie Kehao Liu Kang Hou |
| author_sort | Xinxi Yang |
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| description | Bochdalek hernias are a rare form of diaphragmatic hernia that are usually asymptomatic and typically observed in children. In adults, they are rare and often detected incidentally through imaging. Acute gastric torsion is an uncommon condition in clinical practice, and without timely intervention, life-threatening complications such as gastric strangulation, perforation, and shock may ensue. This case report describes a 74-year-old female patient who presented with abdominal pain and bloating. Following a physical examination and Computed Tomography (CT) scan, the patient was diagnosed with gastric volvulus due to a left Bochdalek hernia. The stomach, spleen, colon, and left kidney were also affected. The patient underwent a successful laparoscopic-assisted open surgical procedure, showing a positive recovery with no complications, and was discharged one week after the operation. At the six-month follow-up, there were no signs of hernia recurrence or other discomfort. During the surgical procedure, it was ascertained that the patient exhibited organ-axial gastric torsion, a condition characterised by the rotation of the stomach around the axis connecting the pylorus and the oesophageal junction. The combination of Bochdalek hernia with gastric volvulus obstruction represents a rare clinical entity, particularly when complicated by the involvement of multiple organs within the hernial sac. Any therapeutic delay in such cases may result in organ necrosis and potentially fatal outcomes. This case emphasises the necessity for meticulous diagnostic and management strategies for Bochdalek hernias, particularly in instances involving multiple organs, to avert complications such as organ necrosis. |
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| issn | 2249-782X 0973-709X |
| language | English |
| publishDate | 2025-07-01 |
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| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj-art-bd66f6f3b79a47c1a76b18a78ba3aab62025-07-23T11:58:27ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-07-01197PD04PD0610.7860/JCDR/2025/76999.21210Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case ReportXinxi Yang0Shihong Li1Pan Nie2Kehao Liu3Kang Hou4Center of Gastrointestinal and Minimally Invasive Surgery, Department of General Surgery, The Third People’s Hospital of Chengdu (Affiliated Hospital of Southwest Jiaotong University), College of Medicine, Southwest Jiaotong University, China.Center of Gastrointestinal and Minimally Invasive Surgery, Department of General Surgery, The Third People’s Hospital of Chengdu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiao Tong University, China.Center of Gastrointestinal and Minimally Invasive Surgery, Department of General Surgery, The Third People’s Hospital of Chengdu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiao Tong University, China.Center of Gastrointestinal and Minimally Invasive Surgery, Department of General Surgery, The Third People’s Hospital of Chengdu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiao Tong University, China.Center of Gastrointestinal and Minimally Invasive Surgery, Department of General Surgery, The Third People’s Hospital of Chengdu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiao Tong University, China.Bochdalek hernias are a rare form of diaphragmatic hernia that are usually asymptomatic and typically observed in children. In adults, they are rare and often detected incidentally through imaging. Acute gastric torsion is an uncommon condition in clinical practice, and without timely intervention, life-threatening complications such as gastric strangulation, perforation, and shock may ensue. This case report describes a 74-year-old female patient who presented with abdominal pain and bloating. Following a physical examination and Computed Tomography (CT) scan, the patient was diagnosed with gastric volvulus due to a left Bochdalek hernia. The stomach, spleen, colon, and left kidney were also affected. The patient underwent a successful laparoscopic-assisted open surgical procedure, showing a positive recovery with no complications, and was discharged one week after the operation. At the six-month follow-up, there were no signs of hernia recurrence or other discomfort. During the surgical procedure, it was ascertained that the patient exhibited organ-axial gastric torsion, a condition characterised by the rotation of the stomach around the axis connecting the pylorus and the oesophageal junction. The combination of Bochdalek hernia with gastric volvulus obstruction represents a rare clinical entity, particularly when complicated by the involvement of multiple organs within the hernial sac. Any therapeutic delay in such cases may result in organ necrosis and potentially fatal outcomes. This case emphasises the necessity for meticulous diagnostic and management strategies for Bochdalek hernias, particularly in instances involving multiple organs, to avert complications such as organ necrosis.https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=July&volume=19&issue=7&page=PD04-PD06&id=21210congenital diaphragmatic herniakidneysplenic flexuresurgical mesh |
| spellingShingle | Xinxi Yang Shihong Li Pan Nie Kehao Liu Kang Hou Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case Report Journal of Clinical and Diagnostic Research congenital diaphragmatic hernia kidney splenic flexure surgical mesh |
| title | Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case Report |
| title_full | Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case Report |
| title_fullStr | Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case Report |
| title_full_unstemmed | Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case Report |
| title_short | Laparoscopic-assisted Open Surgery for Bochdalek Hernia with Gastric Volvulus Involving Multiple Organs: A Case Report |
| title_sort | laparoscopic assisted open surgery for bochdalek hernia with gastric volvulus involving multiple organs a case report |
| topic | congenital diaphragmatic hernia kidney splenic flexure surgical mesh |
| url | https://jcdr.net/article_fulltext.asp?issn=0973-709x&year=2025&month=July&volume=19&issue=7&page=PD04-PD06&id=21210 |
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