Strangulated Bochdalek Hernia in the Adult

Congenital diaphragmatic hernias are usually diagnosed in childhood. The clinical presentation in adult life is heralded by complications which are sometimes misdiagnosed. In Bochdalek hernia incarceration of stomach, pancreas, omentum, colon and spleen can occur with ischemic necrosis if time elapses. Treatment demands surgical repair of the diaphragmatic defect and sometimes total or partial resection of abdominal organs, so an abdominal approach is preferable.