Delepoulle F, Nakahonda J M, Hué V, Pruvot F R, Martinot A, Leclerc F
Services de réanimation infantile et de chirurgie, Hôpital Calmette, Lille, France.
Pediatrie. 1990;45(12):849-52.
Late onset congenital diaphragmatic hernia is a rare condition that is difficult to diagnose. Complications such as intestinal obstruction and digestive perforation may occur. A previously healthy three year-old girl was admitted to hospital with dehydration, shock, and ketoacidosis. A chest X-ray film showed a left hydropneumothorax with an indefinable left diaphragm, that was confirmed by ultrasonography. Hexabrix introduced through a nasogastric tube showed opacification of the left hemithorax attributed to an intrathoracic gastric perforation. She recovered after surgery. Gastrointestinal complications of delayed congenital diaphragmatic hernia must be promptly recognized since surgery should not be delayed.
迟发性先天性膈疝是一种罕见且难以诊断的疾病。可能会出现肠梗阻和消化穿孔等并发症。一名此前健康的三岁女孩因脱水、休克和酮症酸中毒入院。胸部X光片显示左侧液气胸，左侧膈肌难以明确，超声检查予以证实。经鼻胃管注入的泛影葡胺显示左半胸显影，原因是胸腔内胃穿孔。她术后康复。由于不应延迟手术，必须及时识别迟发性先天性膈疝的胃肠道并发症。
