All issues > Volume 18(10); 1975

Case Report

J Korean Pediatr Soc. 1975;18(10):763-766. Published online October 31, 1975.

A Case of Congenital Diaphragmatic Hernia

Chooii Yul Rim¹, Kyung Rae Cho¹

¹Department of Pediatrics, Chonnam University Medical School

Abstract

Congenital diaphragmatic hernia is relatively rare disease. The authers observed a case of surgically corrected one. A five month old male baby was admitted to the Department of Pediatrics in Chonnam University Hospital because of dyspnea and irritability. One day before admission vomiting and irritability were suddenly noted, and. he was treated at local pediatric clinic under the impression of acute gastritis. He was delivered at full term arid had no specific past and family history. At the time of admission there were no audible breath and peristaltic sounds on the left chest. Chest x-ray showed a cystic in the left upper luiig field and increased homogenous density in the left lung field. Ths diagnosis of hydfopneUmothGrax was made by physical aiid chest x-ray findings, and chest tube was inserted. But there was no drainage of any fluid or gas. Despite of therapy dyspnea and irtitiaMlity were aggravated. On the secohd hospital day there appeared audible peristaltic sounds on the left lung fifeld and chest x-ray revealed irregular gas pattern in the left lower lung. The diagnosis of diaphragmatic hernia was confirmed by upper G-I series, and the hernia was successfuly corrected by transthoracic approch. The review of literature was made briefly.

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