Schäfer W, Hanstein F, Schumann E
Zentralbl Chir. 1982;107(13):779-84.
This is a case-report of an undiagnosed congenital defect (aplasia?) of the left diaphragm in a female adult, now aged 43 years. The woman was falsely diagnosed since her youth for cavernous tuberculosis and sent to a tuberculosis hospital for 17 months. Later on, the patient was thought to have a "tear" in the left lung (!) and treated for 9 months as an in-patient. Because of these wrong diagnoses dangerous therapeutic measures were performed. The retrospection this course seems to be rather unbelievable, however it should induce diagnosticians to serious reflections.
这是一例关于一名43岁成年女性未被诊断出的左侧膈肌先天性缺陷(发育不全?)的病例报告。该女性自幼被误诊为海绵状肺结核,并被送往结核病医院治疗了17个月。后来,患者被认为左肺有“撕裂伤”(!),并作为住院患者接受了9个月的治疗。由于这些错误诊断,采取了危险的治疗措施。回顾这一过程似乎相当令人难以置信,然而它应该促使诊断医生进行严肃反思。