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Ann Thorac Surg 2002;73:1288-1289
© 2002 The Society of Thoracic Surgeons

Case report

Symptomatic Bochdalek hernia in an octogenarian

Paul Perch, MDa, Ward V. Houck, MDa, Abe DeAnda, Jr, MD*a

a Department of Surgery, Division of Cardiothoracic Surgery, Medical College of Virginia, Richmond, Virginia, USA

Accepted for publication July 30, 2001.

* Address reprint requests to Dr DeAnda, West Hospital, 1200 E Broad St, 7th Floor, South Wing, Room 7305, Richmond, VA 23298 USA
e-mail: adeanda{at}nsc1.nsc.vcu.edu

We present a case of an 88-year-old man who presented with chest pain and shortness of breath. Chest radiography suggested the presence of a ruptured diaphragm, and on exploration a left Bochdalek defect with herniation of stomach and small bowel into the left pleural cavity was found. This was repaired and the patient eventually was discharged to a nursing facility. We believe this represents the oldest patient presentation of a symptomatic Bochdalek hernia.




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