Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy
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, whic...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Georg Thieme Verlag KG
2018-01-01
|
| Series: | European Journal of Pediatric Surgery Reports |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667357 |
| _version_ | 1818389947126644736 |
|---|---|
| author | Maren Friederike Balks Jan-Hendrik Gosemann Ina Sorge Martin Lacher Franz Wolfgang Hirsch |
| author_facet | Maren Friederike Balks Jan-Hendrik Gosemann Ina Sorge Martin Lacher Franz Wolfgang Hirsch |
| author_sort | Maren Friederike Balks |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-14T04:49:49Z |
| format | Article |
| id | doaj.art-fe7615eda1e649d1b3ce378ed2c6379a |
| institution | Directory Open Access Journal |
| issn | 2194-7619 2194-7627 |
| language | English |
| last_indexed | 2024-12-14T04:49:49Z |
| publishDate | 2018-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | European Journal of Pediatric Surgery Reports |
| spelling | doaj.art-fe7615eda1e649d1b3ce378ed2c6379a2022-12-21T23:16:34ZengGeorg Thieme Verlag KGEuropean Journal of Pediatric Surgery Reports2194-76192194-76272018-01-010601e63e6510.1055/s-0038-1667357Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old BoyMaren Friederike Balks0Jan-Hendrik Gosemann1Ina Sorge2Martin Lacher3Franz Wolfgang Hirsch4Departement of Pediatric Surgery, Universitatsklinikum Leipzig, Leipzig, Sachsen, GermanyDepartement of Pediatric Surgery, Universitatsklinikum Leipzig, Leipzig, Sachsen, GermanyDepartement of Pediatric Radiology, Universitatsklinikum Leipzig, Leipzig, Sachsen, GermanyDepartement of Pediatric Surgery, Universitatsklinikum Leipzig, Leipzig, Sachsen, GermanyDepartement of Pediatric Radiology, Universitatsklinikum Leipzig, Leipzig, Sachsen, GermanyWe 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667357tensionpneumothoraxcongenitaldiaphragmatichernia |
| spellingShingle | Maren Friederike Balks Jan-Hendrik Gosemann Ina Sorge Martin Lacher Franz Wolfgang Hirsch Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy European Journal of Pediatric Surgery Reports tension pneumothorax congenital diaphragmatic hernia |
| title | Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy |
| title_full | Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy |
| title_fullStr | Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy |
| title_full_unstemmed | Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy |
| title_short | Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy |
| title_sort | congenital diaphragmatic hernia presenting with tension pneumothorax in a 3 year old boy |
| topic | tension pneumothorax congenital diaphragmatic hernia |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667357 |
| work_keys_str_mv | AT marenfriederikebalks congenitaldiaphragmaticherniapresentingwithtensionpneumothoraxina3yearoldboy AT janhendrikgosemann congenitaldiaphragmaticherniapresentingwithtensionpneumothoraxina3yearoldboy AT inasorge congenitaldiaphragmaticherniapresentingwithtensionpneumothoraxina3yearoldboy AT martinlacher congenitaldiaphragmaticherniapresentingwithtensionpneumothoraxina3yearoldboy AT franzwolfganghirsch congenitaldiaphragmaticherniapresentingwithtensionpneumothoraxina3yearoldboy |