Phillpott J W, Cumming W A
Department of Radiology, University of Florida, Gainesville, FL 32610.
Pediatr Radiol. 1994;24(2):150-1. doi: 10.1007/BF02020181.
We describe an unusual case of congenital diaphragmatic hernia in a 6-week-old boy who presented with severe respiratory distress due to torsion of the spleen which had passed up into the chest through a Bochdalek hernia and caused a left hemothorax. Scintigraphy with heat-damaged red cells was diagnostic by showing a damaged but functioning spleen above the diaphragm. Surgical repair and return of the spleen to the abdomen resulted in complete recovery.
我们描述了一例6周大男婴的先天性膈疝罕见病例，该患儿因脾脏扭转出现严重呼吸窘迫，脾脏通过Bochdalek疝进入胸腔并导致左侧血胸。热损伤红细胞闪烁扫描显示膈肌上方有受损但仍有功能的脾脏，从而确诊。手术修复并将脾脏回纳至腹腔后，患儿完全康复。
