Spontaneous rupture of the diaphragm.
A 2.5 year old girl with metachromatic leukodystrophy presented with acute respiratory distress and was initially wrongly diagnosed with pneumothorax. Barium meal showed bowel loops in the left hemithorax, which prompted surgical intervention; spontaneous rupture of the diaphragm was diagnosed at surgery.
Akbar
A
A
Paediatric Respiratory and CF Unit, Birmingham Children's Hospital NHS Trust, Steelhouse Lane, Birmingham B4 6NH, UK.
Parikh
D H
DH
Alton
H
H
Clarke
J R
JR
Weller
P H
PH
Green
S H
SH
D002675:Child, Preschool; D003937:Diagnosis, Differential; D003964:Diaphragm / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007966:Leukodystrophy, Metachromatic / Q000150:complications*; D009135:Muscular Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D011030:Pneumothorax / Q000175:diagnosis / Q000000981:diagnostic imaging; D011859:Radiography; D012131:Respiratory Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D012422:Rupture, Spontaneous