A case of Bochdalek hernia in adult misdiagnosed as pulmonary tuberculosis
Journal Title: Journal of Medical and Allied Sciences - Year 2017, Vol 7, Issue 1
Abstract
Bochdalek hernias are congenital defects resulting from the failure of posterolateral diaphragmatic foramina to fuse in utero. Usually it manifests in the neonatal period and occasionally in childhood. Symptomatic Bochdalek hernias in adults are infrequent and may lead to gastrointestinal dysfunction or severe pulmonary disease. Patients are initially investigated and treated for other diseases, therefore diagnosis is purely incidental. Herein, we are reporting a case of symptomatic Bochdalek hernia in an 18-year-old female misdiagnosed as pulmonary tuberculosis and treated accordingly, but with no improvement. This case illustrates importance of high index of clinical suspicion and role of computed tomography in avoiding misdiagnosis and occurrence of serious complication if not treated early.
Authors and Affiliations
Pradosh Kumar Sarangi| Department of Radiodiagnosis, S. C. B. Medical College & Hospital, Manglabag, Cuttack-753007, Odisha, India, Pragnyamaya Debadatta Mangaraj| Department of Radiodiagnosis, S. C. B. Medical College & Hospital, Manglabag, Cuttack-753007, Odisha, India, Debabrata Pattanayak| Department of Radiodiagnosis, S. C. B. Medical College & Hospital, Manglabag, Cuttack-753007, Odisha, India, Laxmi Sankar Kumar| Department of Radiodiagnosis, S. C. B. Medical College & Hospital, Manglabag, Cuttack-753007, Odisha, India, Jayashree Mohanty| Department of Radiodiagnosis, S. C. B. Medical College & Hospital, Manglabag, Cuttack-753007, Odisha, India
Keywords
Related Articles
- EP ID EP12760
- DOI 10.5455/jmas.249120
- Views 408
- Downloads 26
Primary Sclerosing Cholangitis and Biliary Cirrhosis associated with Ulcerative Colitis
Primary sclerosing cholangitis and ulcerative colitis are caused by progressive inflammation of the bile duct and large intestine respectively. The existence of any plausible association between primary sclerosing chol...
Anti-hyperlipidemic effect of crude methanolic extracts of Glycine max (soy bean) on high cholesterol diet-fed albino rats
The cardiovascular diseases (CVD) are showing increasing trend particularly in developing countries. Deranged lipid metabolism is the most common risk factor for development of CVD. Many established drugs are used for t...
Pulmonary tuberculosis: A comparative study of conventional methods and serological diagnosis
The objective of the study was to evaluate mycobacterial identification and isolation rates obtained by different conventional methods. Sputum and serum samples were taken from 80 clinically diagnosed pulmonary tubercul...
High Mallampati score, obesity and obstructive sleep apnea: Triple insult to lung function?
The paper assesses the combined effect of high Mallampati score, obesity and obstructive sleep apnea (OSA) on lung function as measured by spirometry. Our results showed that the combination of sleep apnea, obesity an...
Helicobacter pylori: “A benign fellow traveler or an unwanted inhabitantâ€
The recent decades have witnessed an alarming increase in the Helicobacter pylori associated diseases worldwide. In spite of this, deficiencies in our knowledge still exist about its exact epidemiology, the optimum met...