title: [Acute abdomen in diagnostic delay of (congenital and traumatic) diaphragmatic hernia in childhood].
abstract: The article reports on three patients with an acute abdomen based on late-presenting diaphragmatic hernia past the neonatal period. Two patients showed a congenital diaphragmatic hernia, the third an acquired diaphragmatic hernia caused by rupture. Diagnosis was made by conventional X-rays, partly with contrast studies. In the literature, the late-presenting diaphragmatic hernia varies between 5% and 31%. Infants present mainly respiratory symptoms, older children mostly gastrointestinal complaints. Radiologic misdiagnosis varies between 12% and 70%.
authors.affiliation: Kinderchirurgische Klinik, Dr. von Haunersches Kinderspital, Universität München, Bundesrepublik Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Knorr
authors.forename: H G
authors.initials: HG
authors.lastname: Dietz
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology* / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000150:complications / Q000601:surgery*; D006549:Hernia, Diaphragmatic, Traumatic / Q000150:complications* / Q000601:surgery*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant
vernacular_title: Das akute Abdomen bei verspätet diagnostizierter (angeborener und traumatischer) Zwerchfellhernie im Kindesalter.