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意外诊断:一例偶然发现的先天性膈疝病例。

Unexpected diagnosis: a case of incidental congenital diaphragmatic hernia.

作者信息

Saenz Daniela, Cóbar Juan P, Argueta Victor H, Caravantes Ricardo A

机构信息

Department of Medical Research, Universidad Francisco Marroquín, 6ta calle final zona 10, Universidad Francisco Marroquin, Guatemala City, 01010, Guatemala.

出版信息

Oxf Med Case Reports. 2025 Mar 20;2025(3):omae193. doi: 10.1093/omcr/omae193. eCollection 2025 Mar.

Abstract

Congenital diaphragmatic hernias (CHD) are rare anomalies resulting from the failure of the diaphragm to form. Bochdalek hernias are characterized by posterolateral displacement of abdominal organs into the chest. The condition's clinical presentation is variable and commonly presents with acute respiratory distress after birth. Timely recognition and management are crucial due to the associated morbidity and mortality rates. In the present case, a diaphragmatic hernia was discovered incidentally in a 1-year-old patient following an appendectomy. This case highlights the diverse clinical presentations and diagnostic challenges of Bochdalek hernias, reinforcing the importance of interdisciplinary collaboration for effective patient care.

摘要

先天性膈疝(CHD)是由于膈肌形成失败导致的罕见畸形。Bochdalek疝的特征是腹部器官向后外侧移位至胸腔。该疾病的临床表现多样,通常在出生后出现急性呼吸窘迫。由于相关的发病率和死亡率,及时识别和处理至关重要。在本病例中,一名1岁患儿在阑尾切除术后偶然发现患有膈疝。该病例突出了Bochdalek疝多样的临床表现和诊断挑战,强化了跨学科合作对有效治疗患者的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33cc/11924401/2df7ff93b57d/omae193f1.jpg

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