Lynch J M, Adkins J C, Wiener E S
J Pediatr Surg. 1982 Oct;17(5):537-40. doi: 10.1016/s0022-3468(82)80104-8.
Incarcerated congenital diaphragmatic hernias are a rare cause of bowel obstruction in children. In the past 3 yr, we have treated three such diaphragmatic hernias: the first incarcerated and strangulated requiring bowel resection while the other two were incarcerated only. The difficulty in diagnosing this condition in illustrated by these cases. In all children with the triad of upper respiratory illness (URI) or infiltrate on chest x-ray, vomiting, and x-ray evidence of bowel obstruction, the diagnosis of congenital diaphragmatic hernia (CDH) with incarceration and bowel obstruction should be entertained.
嵌顿性先天性膈疝是儿童肠梗阻的罕见病因。在过去3年里，我们治疗了3例这样的膈疝：第一例发生嵌顿并绞窄，需要行肠切除，而另外两例仅为嵌顿。这些病例说明了诊断这种疾病的困难。对于所有出现上呼吸道疾病（URI）或胸部X线有浸润影、呕吐以及X线显示肠梗阻三联征的儿童，应考虑诊断为先天性膈疝（CDH）伴嵌顿和肠梗阻。
