Cargando…

Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report

BACKGROUND: Bochdalek diaphragmatic hernia is a developmental defect of the posterolateral portion of the diaphragm. This defect may allow abdominal contents to abnormally occupy the thoracic cavity, resulting in most cases in the compression of the developing lungs. Signs are typically shown during...

Descripción completa

Detalles Bibliográficos
Autores principales: Machado Contreras, Luis Alfonso, Retamoso Díaz, Stephanie Paola, Valencia, Gerardo, Morales, Luis Carlos, Herrera Bedoya, María José
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8340496/
https://www.ncbi.nlm.nih.gov/pubmed/34353367
http://dx.doi.org/10.1186/s13256-021-02907-1
_version_ 1783733786107707392
author Machado Contreras, Luis Alfonso
Retamoso Díaz, Stephanie Paola
Valencia, Gerardo
Morales, Luis Carlos
Herrera Bedoya, María José
author_facet Machado Contreras, Luis Alfonso
Retamoso Díaz, Stephanie Paola
Valencia, Gerardo
Morales, Luis Carlos
Herrera Bedoya, María José
author_sort Machado Contreras, Luis Alfonso
collection PubMed
description BACKGROUND: Bochdalek diaphragmatic hernia is a developmental defect of the posterolateral portion of the diaphragm. This defect may allow abdominal contents to abnormally occupy the thoracic cavity, resulting in most cases in the compression of the developing lungs. Signs are typically shown during early childhood since the defect is usually present during development. In exceptional cases, however, Bochdalek diaphragmatic hernia can be observed in asymptomatic adult patients, or in those whose initial diagnosis may include common respiratory pathologies such as asthma. CASE PRESENTATION: Here we describe the case of a 31-year-old Mestizo female patient admitted to the emergency room owing to sudden onset of pain in the left hypochondrium and in epigastrium, as well as signs of respiratory distress. Soon after admission, the patient entered cardiorespiratory arrest, and advanced cardiac life support was provided for 45 minutes without success. The patient was declared dead 1 hour 40 minutes after admission. Clinical autopsy concluded that cause of death was respiratory failure as a complication of a previously undiagnosed Bochdalek diaphragmatic hernia. CONCLUSIONS: We report an exceptional case of Bochdalek diaphragmatic hernia as the cause of rapid-onset respiratory failure and death in an adult. Unfortunately, due to its unusual presentation, Bochdalek diaphragmatic hernia is rarely considered among the list of differential diagnoses when admitting an adult patient with respiratory symptoms. By reporting this case, we encourage the medical community and trainees to consider diaphragmatic defects when approaching a patient with sudden onset of abdominal pain with concomitant respiratory symptoms.
format Online
Article
Text
id pubmed-8340496
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-83404962021-08-06 Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report Machado Contreras, Luis Alfonso Retamoso Díaz, Stephanie Paola Valencia, Gerardo Morales, Luis Carlos Herrera Bedoya, María José J Med Case Rep Case Report BACKGROUND: Bochdalek diaphragmatic hernia is a developmental defect of the posterolateral portion of the diaphragm. This defect may allow abdominal contents to abnormally occupy the thoracic cavity, resulting in most cases in the compression of the developing lungs. Signs are typically shown during early childhood since the defect is usually present during development. In exceptional cases, however, Bochdalek diaphragmatic hernia can be observed in asymptomatic adult patients, or in those whose initial diagnosis may include common respiratory pathologies such as asthma. CASE PRESENTATION: Here we describe the case of a 31-year-old Mestizo female patient admitted to the emergency room owing to sudden onset of pain in the left hypochondrium and in epigastrium, as well as signs of respiratory distress. Soon after admission, the patient entered cardiorespiratory arrest, and advanced cardiac life support was provided for 45 minutes without success. The patient was declared dead 1 hour 40 minutes after admission. Clinical autopsy concluded that cause of death was respiratory failure as a complication of a previously undiagnosed Bochdalek diaphragmatic hernia. CONCLUSIONS: We report an exceptional case of Bochdalek diaphragmatic hernia as the cause of rapid-onset respiratory failure and death in an adult. Unfortunately, due to its unusual presentation, Bochdalek diaphragmatic hernia is rarely considered among the list of differential diagnoses when admitting an adult patient with respiratory symptoms. By reporting this case, we encourage the medical community and trainees to consider diaphragmatic defects when approaching a patient with sudden onset of abdominal pain with concomitant respiratory symptoms. BioMed Central 2021-08-05 /pmc/articles/PMC8340496/ /pubmed/34353367 http://dx.doi.org/10.1186/s13256-021-02907-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Machado Contreras, Luis Alfonso
Retamoso Díaz, Stephanie Paola
Valencia, Gerardo
Morales, Luis Carlos
Herrera Bedoya, María José
Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report
title Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report
title_full Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report
title_fullStr Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report
title_full_unstemmed Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report
title_short Sudden onset dyspnea caused by Bochdalek diaphragmatic hernia in an adult: a case report
title_sort sudden onset dyspnea caused by bochdalek diaphragmatic hernia in an adult: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8340496/
https://www.ncbi.nlm.nih.gov/pubmed/34353367
http://dx.doi.org/10.1186/s13256-021-02907-1
work_keys_str_mv AT machadocontrerasluisalfonso suddenonsetdyspneacausedbybochdalekdiaphragmaticherniainanadultacasereport
AT retamosodiazstephaniepaola suddenonsetdyspneacausedbybochdalekdiaphragmaticherniainanadultacasereport
AT valenciagerardo suddenonsetdyspneacausedbybochdalekdiaphragmaticherniainanadultacasereport
AT moralesluiscarlos suddenonsetdyspneacausedbybochdalekdiaphragmaticherniainanadultacasereport
AT herrerabedoyamariajose suddenonsetdyspneacausedbybochdalekdiaphragmaticherniainanadultacasereport