Shruthi Ashwin  Sridhar,Husam  Ebied,
Right Sided Bochdalek Hernia with Ureteric Involvement – A Case Report and Review of Management Options
Surgical Case Reports
2020
2613-5965
http://dx.doi.org/10.31487/j.SCR.2020.12.24
https://www.sciencerepository.org/right-sided-bochdalek-hernia-with-ureteric-involvement_SCR-2020-12-124 
Abstract: Ureteric herniation through a diaphragmatic defect in adults (Bochdalek hernia – BH) is rare, with less than
15 cases reported in the literature. Most patients present with non-specific abdominal symptoms with or
without worsening of renal function, and therefore, the clinical picture can be masked [1]. Management of
ureteric involvement ranges from conservative to reconstructive surgery. We report a case of an elderly
(>80-year-old) patient who presented acutely with symptoms mimicking an acute abdomen and on imaging
was found to have a BH associated with herniation of right ureter causing hydro-ureter. We managed the
patient conservatively, and she improved symptomatically, which was evident from her follow-ups. We
provide a detailed case report of this situation as well as discuss the literature on the topic to guide treatment
decision-making.Keywords:   Bochdalek hernia, diaphragmatic hernia, ureteric hernia, ureteric obstruction, rare ureteric obstruction, conservative management