A CASE OF BOCHDALEK HERNIA IN AN ADULT WITH GASTRIC VOLVULUS

A case of adult Bochdalek hernia with gastric volvulus in a naturally healthy 54-year-old man is described. The patient was seen at the hospital because of epigastralgia, appetite loss and weight loss for 6 months. He was diagnosed as Bochdalek hernia with gastric volvulus by chest X-ray photographs, contrast radiography of the upper gastrointestine and thoracic CT scans. At laparotomy the stomach was rotated around its mesenteric axis and the antrum was dislocated into the thorax through the left posterior-lateral diaphragm defect. His symptoms disappeared after the operation. Adult Bochdalek hernia with gastric volvulus is very rare and only 5 cases including this case have been reported in this country. In the case of adult Bochdalek hernia with gastric volvulus, definitive operation should be selected even if the patients is asymptomatic.