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Arch Pediatr Adolesc Med. 2007;161(1):98.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Denouement and Discussion: Bochdalek Diaphragmatic Hernia

Chest ultrasonography demonstrated bowel loops in the thoracic cavity. A barium contrast study of the upper gastrointestinal tract showed herniated intestinal loops in the left hemithorax with dilated stomach. Emergency laparotomy revealed a left-sided posterolateral diaphragmatic defect with acute gastric volvulus and herniation of small bowel to the thoracic cavity. The contents were reduced back and the defect was repaired. No associated pulmonary or intestinal tract abnormalities were found, and recovery was uneventful.

Herniation of abdominal contents into the thoracic cavity may occur as a result of a congenital or traumatic defect in 1 area of the diaphragm. Although there are several types and sites of congenital diaphragmatic hernia, the term is usually used synonymously with Bochdalek hernia or posterolateral defect, which is the most common term.¹

Most cases present in the neonatal period; however, in 5% to 25% of patients, Bochdalek hernia may present later.^1-2 The incidence of late-presenting . . . [Full Text of this Article]

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Arch Pediatr Adolesc Med. 2007;161(1):97.
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