• Am J Emerg Med · Mar 2011

    Case Reports

    Nontraumatic massive right-sided Bochdalek hernia in an adult: an unusual presentation.

    • Fayaz A Sofi, Sheikh Hilal Ahmed, Majid A Dar, Dhobi G Nabhi, Showkat Mufti, Mohammad Akbar Bhat, and Parvez Nazir Tabassum.
    • Department of Medicine SKIMS, J and K, India.
    • Am J Emerg Med. 2011 Mar 1; 29 (3): 356.e5-7.

    AbstractDiaphragmatic hernias in adults usually pose a diagnostic challenge; the presentations are varied and range from acute abdominal pain with features of gut obstruction, pleuritic chest pain, breathlessness, to a pregnant woman with pain abdomen. The usual cause in adults is posttraumatic. Because of varied presentations, the diagnosis is often delayed. We present a case of a young woman who presented with sudden-onset breathlessness with similar episodes in the past and no history of trauma, who proved to be having a right-sided diaphragmatic hernia. This case is reported not only because of rarity of nontraumatic right-sided Bochdalek hernias in adults, but also because of peculiar presentation and history.

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