Bochdalek Hernia With Gastric Necrosis Requiring Roux-en-Y Esophagojejunostomy

• DOI: 10.1016/j.athoracsur.2021.08.046
• Publication Date: 2021-09-27T04:51:30Z
• Authors: Travis Sullivan; Brianna C. Ruch; Vignesh Vudatha; Walker A. Julliard; Rachit D. Shah
• Keywords: Roux-en-Y anastomosis; Internal hernia

ABSTRACT Bochdalek hernias are the most common congenital diaphragmatic hernias and are usually diagnosed during childhood1. They can present in adulthood and, in uncommon circumstances, result in gastric herniation with strangulation. We present a case of an adult Bochdalek hernia resulting in total gastric necrosis necessitating Roux-en-Y esophagojejunostomy in an otherwise healthy 39-year-old male. This case highlights the potential morbidity associated with unrepaired congenital diaphragmatic hernias and the need for appropriate referral.