Bochdalek hernia causing type II respiratory failure in an elderly patient

Bochdalek hernia causing pulmonary hypertension.

Bilateral Bochdalek hernias presenting as respiratory failure in an elderly patient.

Bochdalek hernia occurs from a congenital defect of the diaphragm, allowing the passage of abdominal structures into the thoracic cavity, limiting lung expansion and ventilatory function. Bochdalek hernia is common in neonates but rarely occur in adults; there are only 4 documented cases in the elderly population. We present a case of an 88-year-old woman with severe hypoxia and respiratory fai...

Transomental hernia causing intestinal obstruction in an elderly patient.

This report describes the oldest recorded patient with a transomental hernia. She illustrates several important points in dealing with internal hernias in the elderly patient.

Bochdalek hernia in an octogenarian.

An 81-year-old chronic smoker with known chronic obstructive pulmonary disease (COPD) presented with a 2-day history of dyspnoea and dry cough in January 2012. His oxygen saturation was normal, but physical examination revealed occasional expiratory wheezing and decreased air entry over the right lower zone. The complete blood picture showed no leukocytoses. The patient was initially managed as...

Acute gastric dilatation causing respiratory failure and "tension pneumothorax" in an elderly women with a diaphragmatic hernia.

The occurrence of respiratory failure as a result of a large diaphragmatic hernia is a well-described entity in infants with congenital hernias. On reviewing the literature, the authors did not find a similar clinical presentation in the adult population. They report the case of an elderly patient with a large hiatus hernia who developed recurrent episodes of life-threatening respiratory failur...