CT diagnosis of delayed presentation of congenital diaphragmatic hernia simulating massive pleuropneumonia |
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Authors: | G Gayer R Bilik A Vardi |
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Institution: | (1) Department of Diagnostic Imaging, Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, IL-52621 Tel Hashomer, Israel, IL;(2) Department of Pediatric Surgery, Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, IL-52621 Tel Hashomer, Israel, IL;(3) Pediatric Intensive Care Unit, Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, IL-52621 Tel Hashomer, Israel, IL |
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Abstract: | A case of an 11-month-old infant with a delayed presentation of congenital diaphragmatic hernia is reported. Incarceration
of the herniated colon caused a misleading appearance on the chest X-ray which was interpreted as massive pleuropneumonia.
Computed tomography, performed because of continuing deterioration in the clinical condition, showed fluid-filled bowel loops
in the chest and dilated bowel loops with air–fluid levels in the abdomen, suggesting the correct diagnosis.
Received: 17 June 1998; Revision received: 8 September 1998; Accepted: 17 November 1998 |
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Keywords: | : Congenital diaphragmatic hernia Delayed presentation CT |
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