Late presenting Bochdalek hernia containing colon: misdiagnosis risk.
The case of an eleven-months-old girl is reported: she entered the intensive care unit for fever, vomiting and left pleural effusion. Abdominal echography, CT scan and colonic opacification led to the diagnosis of a colonic Bochdalek hernia. A review of the literature showed that colonic hernias are rare, with only five previous reported cases in which colon was found in the thorax. The authors emphasise that there is a high risk of misdiagnosis due to the fact that small intestine contrast studies are normal; only colonic contrasting may lead to the right diagnosis. The roles of echography and CT scan are discussed.
Bétrémieux
P
P
Service de Réanimation Pédiatrique et Clinique Chirurgicale Infantile, CHU de Rennes, France.
Dabadie
A
A
Chapuis
M
M
Pladys
P
P
Tréguier
C
C
Frémond
B
B
Lefrancois
C
C
D003106:Colon / Q000002:abnormalities*; D003951:Diagnostic Errors; D005260:Female; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000000981:diagnostic imaging; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography