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KMID : 0376419800040010248
Chonbuk University Medical Journal
1980 Volume.4 No. 1 p.248 ~ p.254
Bochdalek Hernia

Abstract
The Bochdalek hernia is the most common and serious type of the congenital diaphragmatic hernias, and is the most urgent of all. neonatal surgical emergencies, causing rapidly progressive, and fatal respiratory distress frequently.
The foramen of Bochdalek is a normally occuring hiatus in the posterolateral part of the diaphragm known as the pleuroperitoneal canal during the intrauterine development, and the closure of this canal is completed during the fetal life prior to the migration of the intestine from the umbilical cord into the peritoneal cavity normally. But the closure of this canal does not complete before the¢¥intestinal migration into the peritoneal cavity, the bowel can migrate into the chest caviy through the. pleuroperitoneal canal and. the Bochdalek hernia develops.
This hernia develops more frequently on the left diaphragm and frequently associated with cardiopulmonary or gastrointestinal anomalies including hypeplastic lung, malrotation of the intestine, patent ductus arteriosus and others.
The survival rate after correction of the defect depends upon the presence of associated anomalies, especially hypoplastic lung and congenital heart disease, and the onset of the symptoms, in spite of recent improvement of pediatric surgery.
Recently, author saw a 9-month-old boy with a left Bochdalex hernia without other congenital anomaly. So, author report this case, and review the literatures briefly in this paper.
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