Sonographic appearance of a late-diagnosed left bochdalek hernia in a middle-aged woman: case report and review of the literature.

A 53-year-old woman complaining of left upper lateral quadrant pain was first referred for an abdominal ultrasound. The spleen was disfigured, the suprasplenic echogenic line of the hemidiaphragm was fragmented, and part of bowel was inserted into the thorax. A diaphragmatic hernia was suggested and was further confirmed in a posterolateral position. Copyright 2005 Wiley Periodicals, Inc.