# Bochdalek Hernia Revealed by Incarceration of the Splenic Flexure: A Rare Case in an Adult

## TL;DR

A rare case of a congenital Bochdalek hernia causing acute abdominal complications in an adult is described, emphasizing the importance of timely surgical treatment.

## Contribution

This paper presents a rare clinical case of splenic flexure incarceration in an adult with Bochdalek hernia and underscores the need for prompt surgical intervention.

## Key findings

- A 51-year-old male presented with acute abdominal symptoms due to splenic flexure incarceration in a Bochdalek hernia.
- Emergency surgery successfully resolved the obstruction and restored colonic function.
- The case emphasizes the rarity and clinical significance of adult-onset Bochdalek hernia complications.

## Abstract

Bochdalek hernia (BH), a congenital anomaly that typically manifests in infancy, occasionally presents in adults and can lead to serious complications. “Splenic flexure incarceration” within a BH is a rare but clinically significant event, in which the colonic segment near the spleen becomes entrapped, leading to potential acute complications.

A 51‐year‐old male with no significant medical history presented with acute abdominal pain, nausea, and an absence of bowel movements. Diagnostic imaging revealed a left‐sided BH with splenic flexure and incarcerated omentum, causing marked colonic distension. Emergency surgery was performed, successfully releasing the adhesions and restoring colonic integrity. The patient’s postoperative course was unremarkable, and he was discharged in good health.

This case highlights the rarity of adult BH with splenic flexure incarceration, and the need for swift surgical intervention to prevent life‐threatening sequelae.