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July 8, 2026CureusOpen Access

Massive Bochdalek Hernia in an Adult Presenting With Cardiac Arrhythmias: A Case Report

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Authors

EREdgar A RodriguezRSRaymundo Zavala SalazarJGJorge A Garcia Garza

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Overview

Case report demonstrates surgical management of Bochdalek hernia in an adult with atypical arrhythmias, suggesting need for awareness.

Key Points

  • This case report aims to highlight the challenges in diagnosing Bochdalek hernia in adults and the clinical implications it has.
  • Described a case of a 20-year-old female with arrhythmias leading to diagnosis of Bochdalek hernia.
  • Used multidetector computed tomography for imaging confirmation of organ migration into the thoracic cavity.
  • Performed exploratory laparotomy and staged surgical management including splenectomy, diaphragmatic repair, and closure with skin graft.
  • Confirmed a 10-cm posterolateral diaphragmatic defect with organ migration into thorax.
  • Surgical techniques included hernia reduction and management of abdominal domain loss with negative pressure therapy.
  • Achieved successful closure and indicated a favorable long-term prognosis.

Cite This Study

Rodriguez et al. (2026) studied this question.

synapsesocial.com/papers/6a4de7d8d2ea289ef6282c67https://doi.org/10.7759/cureus.112113
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Asymptomatic Bochdalek's Hernia in an Adult: A Case Report2024 · 5 citations
  2. 2Strangulated Adult Bochdalek Hernia With Extensive Small Bowel Necrosis and Septic Shock2026
  3. 3Symptomatic Left-Sided Bochdalek Hernia in the Adult: A Case Report and Literature Review2025 · 3 citations
  4. 4805. BOCHDALEK HERNIA - CASE REPORT2024
  5. 5Displacement of Abdominal Organs Into the Thoracic Cavity: A Rare Case of Adult Bochdalek Hernia2024 · 1 citations