VA03.7. Laparoscopic Repair of a Left Bochdalek Hernia in an Adult

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ID: 326103
2026
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Ranked #415 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Benign Disease: Other Video Description Bochdalek hernia is a congenital posterolateral diaphragmatic defect that appears more frequently in newborns and children, but its presentation in adults is not exceptional. It may contain the spleen, pancreas, stomach, or colon, and once diagnosed, surgical repair is recommended. We report the case of a 55-year-old asymptomatic man who developed pain in the left hypochondrium and left dorsal area after a physically active weekend. A CT scan showed a 5 cm diaphragmatic defect through which the splenic flexure of the colon had herniated, without signs of bowel ischemia. The patient underwent elective laparoscopic surgery, where a 6 cm posterolateral diaphragmatic defect obliterated by the spleen was observed. The splenic flexure of the colon and the spleen were easily reduced, accessing the pleural cavity without any hernia sac. The splenic flexure, spleen, and pancreatic tail were detached from posterior adhesions to completely free the lower rim of the diaphragmatic defect. The diaphragm was closed with a continuous non-absorbable V-Loc suture, and the repair was reinforced with a double-faced polypropylene mesh fixed with glue. Postoperative recovery was uneventful, and the patient was discharged 48 hours after surgery. Initial laparoscopic exploration should be considered the elective approach in congenital diaphragmatic hernias in adults, allowing a safe and satisfactory repair in most cases.
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Authors Javier Solis Hilasaca, Dra Alexandra Visci, Dra Claudia Codina, Angel Martinez, Lydia Martinez, Joan Borras, Eduard María Targarona Soler
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Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.449
URL
https://doi.org/10.1093/dote/doag077.449
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