{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:59Z","timestamp":1753877219129,"version":"3.41.2"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T00:00:00Z","timestamp":1712275200000},"content-version":"vor","delay-in-days":4,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A Bochdalek hernia is a rare congenital diaphragmatic hernia often diagnosed in infancy and classically occurring on the left side. We report a case of a 78-year-old female who presented with a right-sided posterolateral diaphragmatic hernia containing multiple loops of bowel with evidence of ischemia as well as a type 4 paraesophageal hernia. The stomach was rotated on the organoaxial plane, and the duodenum was within the mediastinum. The patient was taken emergently for an exploratory laparotomy. A posterolateral hernia defect containing 50\u00a0cm of strangulated small bowel was identified and resected, a primary stapled enteroenterostomy was performed and the hernia defect was repaired primarily. The stomach was reduced, a primary crura repair was performed, and gastropexy was performed with a gastrojejunostomy tube. The patient was transferred to the intensive care unit, and subsequently extubated, enteral feeds were initiated, and had anticipated discharge to a skilled nursing facility. This case highlights an uncommon atraumatic presentation of an adult with a congenital diaphragmatic hernia. Its rarity is further denoted due to its right-sided laterality and strangulated small bowel as the usual herniated abdominal organs are the liver or colon.<\/jats:p>","DOI":"10.1093\/jscr\/rjae162","type":"journal-article","created":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T02:15:43Z","timestamp":1712283343000},"source":"Crossref","is-referenced-by-count":0,"title":["Up to the chest in bowels: case of strangulated right diaphragmatic hernia with paraesophageal hernia in a non-trauma patient"],"prefix":"10.1093","volume":"2024","author":[{"given":"Elizabeth R","family":"Maginot","sequence":"first","affiliation":[{"name":"Department of Surgery , College of Medicine, , 42nd and Emile Streets, Omaha, NE 68198 , United States"},{"name":"University of Nebraska Medical Center , College of Medicine, , 42nd and Emile Streets, Omaha, NE 68198 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Lizalek","sequence":"additional","affiliation":[{"name":"Department of Surgery , College of Medicine, , 42nd and Emile Streets, Omaha, NE 68198 , United States"},{"name":"University of Nebraska Medical Center , College of Medicine, , 42nd and Emile Streets, Omaha, NE 68198 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mike","family":"Matos","sequence":"additional","affiliation":[{"name":"Department of Surgery , Division of Acute Care Surgery, , Omaha, NE 68198 , United States"},{"name":"University of Nebraska Medical Center , Division of Acute Care Surgery, , Omaha, NE 68198 , United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,4,3]]},"reference":[{"key":"2024040502153505800_ref1","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1111\/jpc.12508","article-title":"Congenital diaphragmatic hernia","volume":"50","author":"Leeuwen","year":"2014","journal-title":"J Paediatr Child Health"},{"key":"2024040502153505800_ref2","doi-asserted-by":"crossref","first-page":"363","DOI":"10.2214\/ajr.177.2.1770363","article-title":"Prevalence of incidental Bochdalek\u2019s hernia in a large adult population","volume":"177","author":"Mullins","year":"2001","journal-title":"Am J Roentgenol"},{"key":"2024040502153505800_ref3","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s10029-021-02445-1","article-title":"A systematic review on diagnostics and surgical treatment of adult right-sided Bochdalek hernias and presentation of the current management pathway","volume":"26","author":"Ramspott","year":"2022","journal-title":"Hernia"},{"key":"2024040502153505800_ref4","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/S0377-1237(05)80177-7","article-title":"Adult Bochdalek hernia","volume":"61","author":"Alam","year":"2005","journal-title":"Med J Armed Forces India"},{"volume-title":"StatPearls","year":"2022","author":"Gue","key":"2024040502153505800_ref5"},{"key":"2024040502153505800_ref6","doi-asserted-by":"crossref","first-page":"S227","DOI":"10.14309\/00000434-201610001-00502","article-title":"Relationship between hiatal hernia and cardiac arrhythmia in GERD patients: 502","volume":"111","author":"Bala","year":"2016","journal-title":"Off J Am Coll Gastroenterol ACG"},{"key":"2024040502153505800_ref7","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s40792-020-00833-w","article-title":"Bochdalek hernia in an adult: two case reports and a review of perioperative cardiopulmonary complications","volume":"6","author":"Akita","year":"2020","journal-title":"Surg Case Rep"},{"key":"2024040502153505800_ref8","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1186\/s40792-019-0637-2","article-title":"Right-sided Bochdalek hernia containing retroperitoneal fat in the elderly: report of a case","volume":"5","author":"Toda","year":"2019","journal-title":"Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/4\/rjae162\/57144544\/rjae162.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/4\/rjae162\/57144544\/rjae162.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,5]],"date-time":"2024-04-05T02:15:48Z","timestamp":1712283348000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae162\/7639585"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,1]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,4,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae162","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,4]]},"published":{"date-parts":[[2024,4,1]]},"article-number":"rjae162"}}