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Advanced Technical IVT

Bochdalek Hernia

Pronunciation: BAWK-dah-lek

Posterolateral congenital diaphragmatic hernia, the most common type of CDH, typically presenting on the left side.

Full Definition

Bochdalek hernia is the most common type of congenital diaphragmatic hernia, accounting for approximately 85% of cases. It results from failure of closure of the pleuroperitoneal canal during embryonic development, creating a posterolateral defect in the diaphragm. The left side is affected in 85% of cases, and abdominal organs herniate into the thoracic cavity, potentially causing severe pulmonary hypoplasia and pulmonary hypertension. Surgical repair involves reduction of herniated organs and closure of the diaphragmatic defect, often requiring patch repair. The condition is associated with significant morbidity and mortality, particularly when diagnosed prenatally.

Usage

Usage note: Named after Czech anatomist Victor Alexander Bochdalek.

In Context

  • "The newborn required immediate intubation due to severe respiratory distress from a large left-sided Bochdalek hernia." — Emergency department note
  • "Primary repair of the Bochdalek hernia was possible without requiring prosthetic patch material." — Operative report

Also known as

Posterolateral CDH

Contrasted with

Morgagni hernia

Don't confuse with

Morgagni hernia Eventration

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