University of Cambridge School of Clinical Medicine, Cambridge, UK
Norfolk and Norwich University Hospital NHS Trust, Norwich, UK.
BMJ Case Rep. 2024 Aug 31;17(8):e258279. doi: 10.1136/bcr-2023-258279.
Presentation of congenital diaphragmatic hernia in adulthood is rare. Further, most cases are attributable to Bochdalek and Morgagni hernias with central tendon hernias being particularly uncommon. We report a case of central congenital diaphragmatic hernia in an adult presenting as large intestinal obstruction and respiratory failure. Open repair of the hernia was performed, which brought about the resolution of the patient's symptoms. This case report highlights the possibility for congenital diaphragmatic hernia to present in adulthood and the importance of early diagnosis and treatment in these situations.
成人先天性膈疝的表现较为罕见。此外,大多数病例归因于 Bochdalek 和 Morgagni 疝,而中央腱疝则特别少见。我们报告了一例成人中央型先天性膈疝,表现为大肠梗阻和呼吸衰竭。行疝修补术,患者症状得到缓解。本病例报告强调了先天性膈疝在成人中出现的可能性,以及在这些情况下早期诊断和治疗的重要性。