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Bochdalek Hernia
John P. Lichtenberger, III, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Synonyms

                • Posterior diaphragmatic hernia
              • Definitions

                • Protrusion of abdominal contents through normal remnant of pleuroperitoneal canal
                  • Distinguished from Bochdalek-type congenital diaphragmatic hernia, a maldevelopment of posterior diaphragm

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Sandstrom CK et al: Diaphragmatic hernias: a spectrum of radiographic appearances. Curr Probl Diagn Radiol. 40(3):95-115, 2011
                                        2. Kinoshita F et al: Late-presenting posterior transdiaphragmatic (Bochdalek) hernia in adults: prevalence and MDCT characteristics. J Thorac Imaging. 24(1):17-22, 2009
                                        3. Roberts HC: Imaging the diaphragm. Thorac Surg Clin. 19(4):431-50, v, 2009
                                        4. Eren S et al: Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 54(3):448-59, 2005
                                        5. Mullins ME et al: Imaging of incidental Bochdalek hernia. Semin Ultrasound CT MR. 26(1):28-36, 2005
                                        6. Mullins ME et al: Prevalence of incidental Bochdalek's hernia in a large adult population. AJR Am J Roentgenol. 177(2):363-6, 2001
                                        7. Panicek DM et al: The diaphragm: anatomic, pathologic, and radiologic considerations. Radiographics. 8(3):385-425, 1988
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Posterior diaphragmatic hernia
                                                    • Definitions

                                                      • Protrusion of abdominal contents through normal remnant of pleuroperitoneal canal
                                                        • Distinguished from Bochdalek-type congenital diaphragmatic hernia, a maldevelopment of posterior diaphragm

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Sandstrom CK et al: Diaphragmatic hernias: a spectrum of radiographic appearances. Curr Probl Diagn Radiol. 40(3):95-115, 2011
                                                                              2. Kinoshita F et al: Late-presenting posterior transdiaphragmatic (Bochdalek) hernia in adults: prevalence and MDCT characteristics. J Thorac Imaging. 24(1):17-22, 2009
                                                                              3. Roberts HC: Imaging the diaphragm. Thorac Surg Clin. 19(4):431-50, v, 2009
                                                                              4. Eren S et al: Diaphragmatic hernia: diagnostic approaches with review of the literature. Eur J Radiol. 54(3):448-59, 2005
                                                                              5. Mullins ME et al: Imaging of incidental Bochdalek hernia. Semin Ultrasound CT MR. 26(1):28-36, 2005
                                                                              6. Mullins ME et al: Prevalence of incidental Bochdalek's hernia in a large adult population. AJR Am J Roentgenol. 177(2):363-6, 2001
                                                                              7. Panicek DM et al: The diaphragm: anatomic, pathologic, and radiologic considerations. Radiographics. 8(3):385-425, 1988