Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy
Autor: | Ina Sorge, Jan-Hendrik Gosemann, Maren Friederike Balks, Martin Lacher, Franz Wolfgang Hirsch |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
pneumothorax medicine.medical_treatment Perforation (oil well) lcsh:Surgery Diaphragmatic breathing Case Report hernia 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine 030225 pediatrics medicine Hernia business.industry congenital lcsh:RJ1-570 Congenital diaphragmatic hernia lcsh:Pediatrics lcsh:RD1-811 tension medicine.disease Surgery Bochdalek hernia Chest tube medicine.anatomical_structure Pneumothorax Abdomen business diaphragmatic |
Zdroj: | European Journal of Pediatric Surgery Reports, Vol 06, Iss 01, Pp e63-e65 (2018) European Journal of Pediatric Surgery Reports |
ISSN: | 2194-7627 2194-7619 |
DOI: | 10.1055/s-0038-1667357 |
Popis: | We report the case of a 3-year-old boy who presented with an upper respiratory tract infection and severe dyspnea. A chest X-ray revealed a left-sided tension pneumothorax with mediastinal shift and suspected enterothorax. After thoracic computed tomography (CT) scan, a chest tube was inserted, which drained fluid which had the same consistency and color as the one derived from the nasogastric (NG) tube. The boy underwent diagnostic laparoscopy for suspected bowel perforation, which confirmed a left-sided Bochdalek hernia with herniation of the viscera into the chest. After repositioning of the herniated organs into the abdomen, a gastric perforation was identified and repaired. This case demonstrates that the cause of a tension pneumothorax in an infant may be a rare combination of congenital diaphragmatic hernia (CDH) and perforation of a visceral hollow organ. |
Databáze: | OpenAIRE |
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