Dabadie A, Schleich J M, Roussey M, Treguier C, Journel H, Fremond B, Le Marec B
Service de pédiatrie-génétique médicale, CHU Pontchaillou, Rennes, France.
Pediatrie. 1989;44(3):183-7.
Two further cases of congenital diaphragmatic hernia with delayed presentation are reported: a 6-month-old male presented a posterolateral diaphragmatic hernia with small bowel in left hemithorax masquerading as pleural effusion; an 11-year-old boy with Down's syndrome presented a retrocostoxyphoid hernia revealed by vague faintness. The authors emphasize the deceptive clinical aspect, the different means for diagnosis, the risk of wrong diagnosis and pleural drain, the usual good outcome of these late-onset diaphragmatic herniation.
一名6个月大的男性表现为后外侧膈疝，左胸腔内有小肠，误诊为胸腔积液；一名患有唐氏综合征的11岁男孩因模糊的头晕症状发现了肋剑突后疝。作者强调了其具有欺骗性的临床表象、不同的诊断方法、误诊及胸腔引流的风险，以及这些迟发性膈疝通常良好的预后。
