Presentation
Shortness of breath
Patient Data
Age: 25 years
Gender: Female
From the case:
Congenital diaphragmatic hernia (Bochdalek hernia)
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/130880/annotated_viewer_json?_c=1673365920\u0026iframe=true\u0026lang=gb"}
Evidence of left posterior diaphragmatic defect with herniation of abdominal viscera (bowel loops, omentum, and spleen) through it with a subsequent near total collapse of the left lung and rightward shift of cardio-mediastinal structures.
Case Discussion
The patient complains of long-standing shortness of breath. A review of the patient's clinical history revealed no previous trauma. Bochdalek hernia is a much more common congenital diaphragmatic hernia in asymptomatic adults than previously thought and can be identified on routine chest and abdominal CT images 1.
On CT imaging, a posterolateral defect was visible, with abdominal content herniating through it, causing varying degrees of lung collapsing.