Kajal Pradeep, Bhutani Namita, Goyal Mohit, Kamboj Poonam
Deptt. of Pediatric Surgery, PGIMS, Rohtak, Haryana, India.
Deptt. of Pathology, PGIMS, Rohtak, Haryana, India.
Int J Surg Case Rep. 2017;41:154-157. doi: 10.1016/j.ijscr.2017.09.027. Epub 2017 Oct 12.
Congenital diaphragmatic hernia (CDH) is a defect in diaphragm which usually presents with severe respiratory distress in neonatal period.
We present a case of congenital diaphragmatic hernia presenting at an age of 2.5 years in a male child. It was misdiagnosed as a case of pyothorax for which chest tube was attempted on left side resulting in iatrogenic gastric perforation. The patient was managed by early and prompt surgery.
Late presentation is usually rare with vast array of respiratory and gastrointestinal symptoms. It often leads to clinical and radiological misdiagnosis.
Surgical intervention in misdiagnosed cases can lead to catastrophic iatrogenic complications.
先天性膈疝（CDH）是膈肌的一种缺陷，通常在新生儿期表现为严重的呼吸窘迫。
我们报告一例2.5岁男性儿童先天性膈疝病例。该病例最初被误诊为脓胸，曾尝试在左侧放置胸管，结果导致医源性胃穿孔。患者通过早期及时的手术得到治疗。
晚期发病通常很少见，伴有一系列呼吸和胃肠道症状。这常常导致临床和影像学误诊。
对误诊病例进行手术干预可能会导致灾难性的医源性并发症。
