Daum R, Roth H
Z Kinderchir. 1985 Dec;40(6):364-7. doi: 10.1055/s-2008-1059751.
Report on two cases with delayed diagnosis of congenital diaphragmatic hernia. The cause of partial and total opacity of the right chest was recognised only after thoracotomy which followed misdirected diagnostic procedures such as tomography, bronchoscopy and repeated punctures of the pleural cavity. In both cases a transdiaphragmatic liver prolapse with signs of transthoracic liver punctures was found. The diagnostic importance of sonography and if necessary, computed tomography and liver scintigraphy in infancy and childhood, is emphasised.
两例先天性膈疝延迟诊断报告。右胸部分及完全不透明的病因仅在开胸手术后才得以明确，此前进行了如断层扫描、支气管镜检查及反复胸腔穿刺等错误的诊断程序。两例均发现经膈肝脏脱垂并有经胸肝脏穿刺的迹象。强调了超声检查以及必要时计算机断层扫描和肝脏闪烁扫描在婴幼儿及儿童期的诊断重要性。
