Rouse Christopher, Schmidt Luke, Brock Lee, Fagiana Angela
Department of Pediatrics, Walter Reed National Military Medical Center, Bethesda, MD, USA; Department of Pediatrics, Uniformed Services University of Health Sciences, Bethesda, MD, USA; 779th Medical Operations Squadron, Joint Base Andrews, Prince George's County, MD, USA.
Drexel University College of Medicine, Philadelphia, PA, USA.
Case Rep Emerg Med. 2017;2017:9175710. doi: 10.1155/2017/9175710. Epub 2017 Jan 4.
A 7-day-old male infant presented to the emergency room after respiratory distress was noted at an outpatient well child check. On exam, he was observed to have tachypnea, increased work of breathing, and decreased breath sounds on the left side of the chest. On chest X-ray, he was found to have a left-sided congenital diaphragmatic hernia. The infant was transported to a tertiary care facility where the defect was repaired without complication. Interestingly, the mother had a history of a normal antenatal ultrasound, completed at 19 + 2 weeks of gestational age. This case report summarizes the challenges of diagnosing late-presenting congenital diaphragmatic hernia, associated malformations, possible etiologies, and prognosis.
一名7日龄男婴在门诊健康儿童检查时被发现呼吸窘迫后被送往急诊室。检查时，发现他呼吸急促、呼吸做功增加，左侧胸部呼吸音减弱。胸部X线检查发现他患有左侧先天性膈疝。该婴儿被转运至三级医疗机构，在那里缺损得到修复，未出现并发症。有趣的是，母亲在孕19 + 2周时进行的产前超声检查结果正常。本病例报告总结了诊断迟发性先天性膈疝的挑战、相关畸形、可能的病因及预后。
