BOCHDALEK HERNIA IN AN ADULT

Congenital diaphragmatic Bochdalek hernia is rarely seen in adults. It may present with jejunal perforation and strangulation. In a 28-year- old man presenting with nausea and vomiting, absence of respiratory mu rmur at auscultation, loops of small intestine with air-fluid levels w ere radiographically visualized in the left hemithorax. Surgery reveal ed 1.5-m of hemiated jejunum with three perforations and necrotic area s, 40 cm of which was resected. The patient remains well ten years pos toperatively.