Evidence map›Paper›PMID 29030793›Full record

ArticleSurgical case reports2017

Right-sided Bochdalek hernia in an elderly adult: a case report with a review of surgical management.

Kazuki Moro, Mikako Kawahara, Yusuke Muneoka, Yu Sato, Chie Kitami, Shigeto Makino, Atsushi Nishimura, Yasuyuki Kawachi, Emmanuel Gabriel, Keiya Nikkuni

Open access · goldAbstract read
In one paragraph

Article in Surgical case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Right-sided Bochdalek hernia in an adult: a case report.Journal of surgical case reports · 2021
    Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Kazuki MoroDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan. kmoro@med.niigata-u.ac.jp.ORCID http://orcid.org/0000-0002-6826-4374
Mikako KawaharaDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Yusuke MuneokaDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Yu SatoDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Chie KitamiDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Shigeto MakinoDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Atsushi NishimuraDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Yasuyuki KawachiDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Emmanuel GabrielSection of General Surgery, Department of Surgery, Mayo Clinic, Jacksonville, FL, 32224, USA.
Keiya NikkuniDepartment of Surgery, Institute of Gastroenterology, Nagaoka Chuo General Hospital, Nagaoka, Niigata, 940-8653, Japan.
Mayo Clinic in Florida · USNagaoka Institute of Design · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBochdalek hernias are one of the most common types of diaphragmatic hernia, with most cases diagnosed during the neonatal period. In contrast, diagnosis of a Bochdalek hernia in an adult is rare and is typically observed on the left side of the diaphragm. Even more rare is the diagnosis of a right-sided Bochdalek hernia in an adult, where there is concurrent visceral malformation in most cases. CASE PRESENTATION: We describe a case of an 89-year-old female who presented with abdominal pain. An abdominal computed tomography (CT) scan showed decreased intravenous contrast uptake and thickening of the wall of herniated small intestine through the right side of the diaphragm, which led to the diagnosis of a strangulated diaphragmatic hernia. The patient underwent emergent laparotomy and required a partial resection of the necrotic ileum and a hernia repair with direct closure. Interestingly, in this case, organ malformation was not observed. The patient was discharged approximately 2 weeks after surgery without complication.

conclusionsAdult right-sided Bochdalek hernia with strangulation in the absence of hepatic atrophy is a rare entity. Considering the severity of this condition, accurate diagnosis and proper treatment are needed. A tailored operative approach is required on an individual case basis.

Indexed as

AdultBochdalek herniaRight-sidedStrangulation

Identifiers

PMID29030793
PMCPMC5640563
OpenAlexW2762215730

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.