A 23-year-old man presented with a long history of dyspnea and wheezing thought to be due to asthma. Abnormal appearance of the left hemithorax was an incidental finding on a chest X-Ray. On further investigations he was found to have congenital Bochdalek hernia which was repaired surgically. All his respiratory symptoms resolved and he was able to discontinue treatment for asthma. We want to emphasise that late presentations can be misleading even to an astute clinician.
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References
1.
BermanLStringerDEinSHShandlingB. The late-presenting pediatric Bochdalek hernia: A 20-year review. J Pediatr Surg1988;23:735–9.
2.
NaunheimKS. Adult presentation of unusual diaphragmatic hernias. Chest Surg Clin N Am1998;8:359–69.
3.
GaleME. Bochdalek hernia: Prevalence and CT characteristics. Radiology1985;156:449–52.
4.
TibboelDGaagAV. Etiologic and genetic factors in congenital diaphragmatic hernia. Clin Perinatol1996;23:689–99.
5.
BaglajMDorobiszU. Late-presenting congenital diaphragmatic hernia in children: A literature review. Pediatr Radiol2005;35:478–88.
ThomasSKapurB. Adult Bochdalek hernia—clinical features, management and results of treatment. Jpn J Surg1991;21:114–9.
8.
SilenMLCanvasserDAKurkchubascheAGAndrusCHNaunheimKS. Video-assisted thoracic surgical repair of a foramen of Bochdalek hernia. Ann Thorac Surg1995;60:448–50.
