Late presenting Bochdalek hernia containing colon: misdiagnosis risk

Eur J Pediatr Surg. 1995 Apr;5(2):113-5. doi: 10.1055/s-2008-1066181.


The case of an eleven-months-old girl is reported: she entered the intensive care unit for fever, vomiting and left pleural effusion. Abdominal echography, CT scan and colonic opacification led to the diagnosis of a colonic Bochdalek hernia. A review of the literature showed that colonic hernias are rare, with only five previous reported cases in which colon was found in the thorax. The authors emphasise that there is a high risk of misdiagnosis due to the fact that small intestine contrast studies are normal; only colonic contrasting may lead to the right diagnosis. The roles of echography and CT scan are discussed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Colon / abnormalities*
  • Diagnostic Errors
  • Female
  • Hernia, Diaphragmatic / diagnosis*
  • Hernia, Diaphragmatic / diagnostic imaging
  • Hernias, Diaphragmatic, Congenital*
  • Humans
  • Infant
  • Tomography, X-Ray Computed
  • Ultrasonography