Gaisie G, Young L W, Oh K S
Clin Radiol. 1983 May;34(3):267-70. doi: 10.1016/s0009-9260(83)80327-4.
Three patients with late-onset Bochdalek's hernia are presented. All three had obstruction of the herniated bowel and, in two patients, this was complicated by strangulation and necrosis. The spectrum of roentgenographic manifestation included obvious findings of bowel in the chest in one patient; in another, the findings simulated pneumonia associated with reflex bowel ileus in the abdomen. The third patient had a massive pleural effusion, with what appeared to be associated bowel ileus. In spite of the misleading presentation it is imperative that the correct diagnosis be made early since the incidence of strangulation and severe morbidity is high.
本文报告了3例迟发性Bochdalek疝患者。所有3例患者均有疝入肠管梗阻，其中2例并发绞窄和坏死。X线表现谱包括：1例患者胸部有明显的肠管影像；另1例患者的表现类似肺炎伴腹部反射性肠麻痹；第3例患者有大量胸腔积液，似乎伴有肠麻痹。尽管临床表现具有误导性，但由于绞窄发生率和严重发病率较高，早期做出正确诊断至关重要。
