Journal
WORLD JOURNAL OF GASTROINTESTINAL SURGERY
Volume 5, Issue 7, Pages 222-223Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.4240/wjgs.v5.i7.222
Keywords
Polycystic kidney disease; Paraesophageal hernia; Bochdalek hernia; Diaphragmatic hernia; Diaphragmatic hernia repair
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An 81-year-old gentleman with congenital polycystic kidney disease presented to his primary care physician with dysphagia, gastroesophageal reflux refractory to medical management, and 11.25 kg weight loss in a 6 mo-period. A barium swallow misdiagnosed a paraesophageal hernia for a Bochdalek hernia. Herein, we highlight how a Bochdalek hernia may be disregarded in the differential diagnosis and how providers can resort to a more common diagnosis, a paraesophageal hernia, which is more frequently encountered in old age and whose radiologic appearance might mimic a Bochdalek hernia. (C) 2013 Baishideng. All rights reserved.
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