Chawla Aditya, Chaudhary Gaurav, Sachdeva Primal, Chawla Madhav K, Chawla Rakesh K
Department of Respiratory Medicine, Critical Care and Sleep Medicine, Saroj Superspeciality Hospital, Delhi, India.
Jaipur Golden Hospital, Delhi, India.
Lung India. 2022 Jul-Aug;39(4):371-373. doi: 10.4103/lungindia.lungindia_336_21.
We describe the case of a male patient admitted to our emergency department during the COVID-19 pandemic with complaints of fever, severe breathlessness and dry cough associated with symptoms of gastric reflux for 5 days. Chest HRCT showed subtle multiple areas of diffuse patchy opacities with ground-glass haze with associated left subdiaphragmatic hernia and atelectasis of the left pulmonary lobe. Barium meal revealed subdiaphragmatic hernia. A nasopharyngeal swab for 2019-nCoV was positive. A diagnosis of diaphragmatic hernia in COVID-19 pneumonia was made. To our knowledge, spontaneous herniation of the diaphragm is a rare entity. Treatment for COVID-19 and empiric antibiotic therapy were promptly started and a decision of elective surgery was made.
我们描述了一名男性患者的病例，该患者在新冠疫情期间因发热、严重呼吸困难、干咳并伴有胃食管反流症状5天而入住我院急诊科。胸部HRCT显示多个区域有细微的弥漫性斑片状模糊影，并伴有磨玻璃样混浊，同时伴有左膈下疝和左肺叶肺不张。钡餐检查显示膈下疝。2019-nCoV鼻咽拭子检测呈阳性。诊断为新冠病毒肺炎合并膈疝。据我们所知，膈肌自发性疝是一种罕见的病症。随即迅速开始了针对新冠病毒的治疗和经验性抗生素治疗，并决定进行择期手术。
