Robotic repair of a right-sided Bochdalek hernia: a case report and literature review

Journal of Robotic Surgery
Amani JambhekarVadim Nakhamiyayev

Abstract

Bochdalek hernias (BHs) are usually diagnosed in the neonatal period, occurring in 1/2200-1/12,500 live births. There are few reported cases of BHs in adults. Robotic repair has not been described in current literature as opposed to the laparoscopic approach. Here we present a case of an adult with clinical signs of bowel obstruction secondary to a BH which was repaired using a robotic approach. A 74-year-old gentleman with past medical history of benign prostatic hyperplasia presented to the emergency department with a 1-week history of nausea, vomiting, diarrhea, and decline in appetite. Computed tomography (CT) imaging of the chest and abdomen revealed elevation of the right hemidiaphragm and evidence of small bowel obstruction. The patient was managed conservatively with nasogastric tube placement and bowel rest. He underwent colonoscopy which could not be completed secondary to a transverse colon stricture which was confirmed by barium enema. Upon repeat CT imaging, the patient was found to have herniated colon through a right-sided diaphragmatic hernia which caused colonic narrowing. The patient's intestinal obstruction improved clinically with continued conservative management and he underwent robotic repair of a right p...Continue Reading

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Citations

Jun 18, 2019·Journal of Thoracic Imaging·Matthew C BlackManuel V Sanchez
Mar 9, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Lucas M HunterJames E Speicher
Aug 13, 2020·World Journal of Surgery·Gennaro PerroneFausto Catena
Jul 18, 2021·Surgical Case Reports·Naoki EnomotoNorihiro Kokudo

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