Portal hypertension and hypersplenism in a patient with a Bochdalek hernia: a case report.

Abstract:

BACKGROUND:A congenital diaphragmatic hernia (Bochdalek's hernia) rarely presents in adulthood. CASE PRESENTATION:We present the case of a 21-year-old woman with thrombocytopenia secondary to hypersplenism due to left-sided (sinistral) portal hypertension. This portal hypertension was caused by strangulation of the spleen within a Bochdalek's hernia. Subacute gastric volvulus compounded by portal hypertensive gastropathy resulted in her presentation with acute haematemesis. CONCLUSIONS:Congenital diaphragmatic hernias may present in the adult. Their presentation is variable, and they may produce life-threatening complications.

journal_name

Ir J Med Sci

authors

Kennedy R,Donaghy A,Ahmad J,McManus K,Clements WD

doi

10.1007/s11845-008-0140-4

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

111-3

issue

1

eissn

0021-1265

issn

1863-4362

journal_volume

178

pub_type

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