Department of General Surgery, Ibb University of Medical Science, Ibb, Yemen.
Urology Research Center, Al-Thora General Hospital, Department of Urology, Ibb University of Medical Science, Ibb, Yemen.
Pan Afr Med J. 2021 Dec 21;40:242. doi: 10.11604/pamj.2021.40.242.32113. eCollection 2021.
Congenital diaphragmatic hernia (CDH) is known as a structural defect caused by inadequate fusion of the pleuroperitoneal membrane forming the diaphragm, allowing peritoneal viscera to protrude into the pleural cavity. It affects nearly one out of 2500 live births. We here report the case of a six-month-old boy with left diaphragmatic hernia presenting with poor feeding, breathing difficulty, cough, and recurrent pneumonia in the last 2 months. Chest X-ray and computed tomography scan revealed left sided CDH. The defect was corrected through open surgical repair without complications. At 5-month follow-up a radiograph was performed which revealed full recovery. The primary goal of this report was to alert physicians to suspect this diagnosis in patients with unexpected presentation of diaphragmatic hernia.
先天性膈疝（CDH）是一种由于膈腹膜的胸膜腹膜融合不全而导致的结构缺陷，使腹腔内脏器突出到胸腔。它影响了近每 2500 例活产中的 1 例。我们在此报告了一例 6 个月大的男孩，患有左侧膈疝，表现为喂养不良、呼吸困难、咳嗽和近 2 个月来反复肺炎。胸部 X 线和计算机断层扫描显示左侧 CDH。该缺陷通过开放式手术修复得到纠正，无并发症。在 5 个月的随访时进行了 X 线检查，显示完全恢复。本报告的主要目的是提醒医生在出现意外膈疝表现的患者中怀疑这种诊断。
