Mr Sam Arman
University Hospital Coventry and Warwickshire Hospital NHS Trust Warwickshire CV311BB United Kingdom
Biography
Sam Arman graduated from University of Leeds Medical school in 2014. He has completed his Intercollegiate Membership Examination of the Surgical Royal Colleges of Great Britain and Ireland (MRCS) at year 2017. He is currently a Specialist Trainee with Health Education West Midlands, United Kingdom and actively involved in medical innovation, audit & research projects.
Abstract
Introduction: Bochdalek hernia is a rare congenital diaphragmatic hernia normally diagnosed in the neonatal and postnatal period, with the diagnosis in adults being extremely rare.Eventration is an abdnormal elevation of the diaphragm resulting from failure of muscular development of part or all of the diaphragm. It is generally asymptomatic and is often found incidentally in adults.
Case: A 73 year-old male presented with complaints of worsening breathlessness over 1 year was found to have a restrictive lung pattern on respiratory function testing. A diagnosis of eventration of the right diaphragm was made by chest x-ray and computed topography. The patient underwent elective video assisted thoracoscopy and thoractomy for surgical repair. At surgery, a diagnosis of Bochdalek hernia was made as the liver was found to have herniated into the thoracic cavity, the defect was closed using a biological mesh.Patient has recovered well post-operatively.
Conclusion: We report a case of a right-sided Bochdalek hernia in an elderly male that was initially diagnosed as a right eventration of the diaphragm from radiological findings. Both disorders are rare in adults, however the use of VATs enabled appropriate diagnosis and definitive surgical repair.