Right-sided Bochdalek hernia incidentally diagnosed in a gas
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Abstract
Background
Bochdalek hernia (BH) is generally congenital, presenting with respiratory distress. However, this pathology is rarely detected in adults. Some adult cases of BH present with symptoms attributed to the hernia, but incidental detection of BH is increasing among asymptomatic adults due to advances in imaging modalities. This report presents the management of incidental BH patients detected in the preoperative period of gastric cancer.

Case presentation
An asymptomatic 76-year-old woman underwent follow-up fluorodeoxyglucose positron emission tomography (FDG-PET) after radiotherapy for uterine cervical cancer (T4N0M0 Stage IVA) and showed strong FDG accumulation in the stomach. She had no history of trauma. She had hypertension and cholangiectasis of unknown origin. Physical examination revealed nothing of note. Esophagogastroduodenoscopy (EGD) showed an elevated lesion, 30 mm in diameter, at the lesser curvature in the antrum of the stomach, and biopsy indicated well-differentiated adenocarcinoma. Chest X-ray revealed that the right hemidiaphragm was exceptionally high (Fig. 1a, b).....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888207/
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