CT diagnosis of delayed presentation of congenital diaphragmatic hernia simulating massive pleuropneumonia.
A case of an 11-month-old infant with a delayed presentation of congenital diaphragmatic hernia is reported. Incarceration of the herniated colon caused a misleading appearance on the chest X-ray which was interpreted as massive pleuropneumonia. Computed tomography, performed because of continuing deterioration in the clinical condition, showed fluid-filled bowel loops in the chest and dilated bowel loops with air-fluid levels in the abdomen, suggesting the correct diagnosis.
Gayer
G
G
Department of Diagnostic Imaging, Chaim Sheba Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, IL-52621 Tel Hashomer, Israel.
Bilik
R
R
Vardi
A
A
D003106:Colon / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging*; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D011001:Pleuropneumonia / Q000000981:diagnostic imaging*; D013997:Time Factors; D014057:Tomography, X-Ray Computed