Kelly, Madeleine, and Palamuthusingam, Pranavan (2021) Bochdalek herniation: an unusual cause of bowel obstruction in an adult. ANZ Journal of Surgery, 91 (7-8). E535-E536.

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Abstract

[Extract] An 85-year-old woman presented to the emergency department with a 3-day history of vomiting and abdominal pain on a background of a known large right-sided diaphragmatic herniation first documented via radiological imaging in 2012. Her comorbidities of significance included vasculopathy and symptomatic chronic obstructive pulmonary disease. On examination, the patient was hypertensive with a soft abdomen, generalized tenderness, voluntary guarding and no evidence of peritonitis. There were no signs of respiratory distress. The patient was managed in the emergency department with a provisional diagnosis of small bowel obstruction with laboratory workup and radiological imaging performed.

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