{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:34:38Z","timestamp":1753893278263,"version":"3.41.2"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T00:00:00Z","timestamp":1637280000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Right-sided Bochdalek hernia is a mostly congenital condition of the diaphragm caused by a persistence of the pleuroperitoneal cavity and a rare disease in adults. As it often presents as an emergent situation, urgent diagnostics and surgical intervention are essential to reduce morbidity and mortality rates. Choosing the right surgical approach (abdominal, thoracic, or a combination of both) can be very challenging for clinicians. Here, we report a case of a 40-year-old woman, who presented with severe abdominal pain and tachypnoea. Imaging revealed a right-sided Bochdalek hernia. Emergency laparotomy was performed followed by reduction of hernia content, right-sided hemicolectomy, and side-to-side anastomosis from the ileum to the transverse colon due to intestinal ischemia and intrathoracic bowel perforation. The post-operative course was complicated by a pleural empyema. Therefore, the patient underwent thoracotomy. One year after surgical repair the patient had no recurrence. Here, we discuss feasible approaches for the surgical management of complicated Bochdalek hernias.<\/jats:p>","DOI":"10.3389\/fsurg.2021.755279","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T04:58:29Z","timestamp":1637297909000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Case Report: Adult Right-Sided Bochdalek Hernia Complicated by Intrathoracic Bowel Perforation"],"prefix":"10.3389","volume":"8","author":[{"given":"Jan Philipp","family":"Ramspott","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"Regenbogen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tarkan","family":"J\u00e4ger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lechner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz","family":"Mayer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"Gabersek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Emmanuel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Schredl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2021,11,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"820","DOI":"10.1183\/09031936.00066511","article-title":"Congenital diaphragmatic hernia","volume":"39","author":"Kotecha","year":"2012","journal-title":"Eur Respir J."},{"key":"B2","doi-asserted-by":"publisher","first-page":"667","DOI":"10.1111\/jpc.12508","article-title":"and Fitzgerald DA, Congenital diaphragmatic hernia","volume":"50","author":"Leeuwen","year":"2014","journal-title":"J Paediatr Child Health"},{"key":"B3","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1186\/s40792-017-0385-0","article-title":"Right-sided Bochdalek hernia in an elderly adult: a case report with a review of surgical management","volume":"3","author":"Moro","year":"2017","journal-title":"Surg Case Rep."},{"key":"B4","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1055\/s-0037-1617754","article-title":"Prenatal diagnosis of congenital diaphragmatic hernia: does laterality predict perinatal outcomes?","volume":"35","author":"Sperling","year":"2018","journal-title":"Am J Perinatol."},{"key":"B5","doi-asserted-by":"publisher","first-page":"363","DOI":"10.2214\/ajr.177.2.1770363","article-title":"Prevalence of incidental Bochdalek's hernia in a large adult population","volume":"177","author":"Mullins","year":"2001","journal-title":"AJR Am J Roentgenol."},{"key":"B6","doi-asserted-by":"publisher","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","author":"Ramspott","year":"2021","journal-title":"Hernia"},{"key":"B7","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1007\/s10029-010-0699-3","article-title":"Bochdalek hernia in the adult: demographics, presentation, and surgical management","volume":"15","author":"Brown","year":"2011","journal-title":"Hernia."},{"key":"B8","doi-asserted-by":"publisher","first-page":"e356","DOI":"10.1542\/peds.2004-2845","article-title":"Outcomes of congenital diaphragmatic hernia: a population-based study in Western Australia","volume":"116","author":"Colvin","year":"2005","journal-title":"Pediatrics."},{"key":"B9","doi-asserted-by":"publisher","first-page":"877","DOI":"10.1016\/j.jpedsurg.2009.01.046","article-title":"Absolute vs relative improvements in congenital diaphragmatic hernia survival: what happened to \u201chidden mortality\u201d","volume":"44","author":"Mah","year":"2009","journal-title":"J Pediatr Surg."},{"key":"B10","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1007\/s10029-007-0188-5","article-title":"Right-sided Bochdalek hernia obstructing in an adult: case report and review of the literature","volume":"11","author":"Rout","year":"2007","journal-title":"Hernia."},{"key":"B11","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1186\/s40792-015-0100-y","article-title":"Complicated adult right-sided Bochdalek hernia with Chilaiditi's syndrome: a case 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