Torsion of the spleen: an unusual presentation of congenital diaphragmatic hernia.
We describe an unusual case of congenital diaphragmatic hernia in a 6-week-old boy who presented with severe respiratory distress due to torsion of the spleen which had passed up into the chest through a Bochdalek hernia and caused a left hemothorax. Scintigraphy with heat-damaged red cells was diagnostic by showing a damaged but functioning spleen above the diaphragm. Surgical repair and return of the spleen to the abdomen resulted in complete recovery.
Phillpott
J W
JW
Department of Radiology, University of Florida, Gainesville, FL 32610.
Cumming
W A
WA
D006491:Hemothorax / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D008297:Male; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013158:Splenic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D014102:Torsion Abnormality / Q000150:complications / Q000175:diagnosis / Q000601:surgery