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成人巨大先天性膈疝

Giant congenital diaphragmatic hernia in an adult.

作者信息

Zhou Yubin, Du Heng, Che Guowei

机构信息

Department of Thoracic Surgery, West-China Hospital, Sichuan University, Chengdu 610041, Sichuan, Province, PR China.

出版信息

J Cardiothorac Surg. 2014 Feb 10;9:31. doi: 10.1186/1749-8090-9-31.

Abstract

Bochdalek hernia is the most common type of congenital diaphragmatic hernia. It appears frequently in infants but rarely in adults. We present the case of a 50-year-old female han patient with tremendous left-sided congenital posterolateral diaphragmatic hernia (Bochdalek hernia) who also has a pair of supernumerary breasts and pulmonary hypoplasia of the lower-left lobe. The patient had an experience of misdiagnosis and she was treated for bronchitis for one year until being admitted to our hospital. This case study emphasizes the rare presentation of Bochdalek hernia in adults and the necessity of high clinical attention to similar cases.

摘要

博赫dalek疝是最常见的先天性膈疝类型。它在婴儿中频繁出现,但在成人中很少见。我们报告一例50岁汉族女性患者,患有巨大的左侧先天性后外侧膈疝(博赫dalek疝),同时还有一对多余乳房以及左下叶肺发育不全。该患者曾有过误诊经历,因支气管炎接受了一年治疗,直至入院。本病例研究强调了博赫dalek疝在成人中的罕见表现以及对类似病例高度临床关注的必要性。

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