[Postnatal diagnosis of gastric volvulus revealing congenital diaphragmatic hernia].
Postnatally diagnosed congenital diaphragmatic hernias (CDH) are rare and have a better prognosis than those diagnosed prenatally. Postnatal symptoms can be respiratory, digestive, or mixed. Gastric volvulus can reveal CDH. Symptoms are pain, abdominal distension, and/or vomiting. Upper gastrointestinal barium X-ray radiography provides the diagnosis. Prognosis is related to early surgical management in complicated forms with intestinal occlusion or sub-occlusion. We report on an infant who presented with vomiting, which revealed gastric volvulus associated with a CDH. Progression was favorable after surgical treatment.
Service des urgences pédiatriques, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France. Electronic address: agathe.aprahamian@aphp.fr.
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Aprahamian
Service des urgences pédiatriques, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
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Nouyrigat
Service de radiologie pédiatrique, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
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Grévent
Service de chirurgie viscérale pédiatrique, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
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Hervieux
Service des urgences pédiatriques, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France; Faculté de médecine Paris Descartes, 12, rue de l'École de Médecine, 75006 Paris, France.
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Chéron
D003937:Diagnosis, Differential; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010535:Laparoscopy; D008297:Male; D011247:Pregnancy; D011379:Prognosis; D013277:Stomach Volvulus / Q000175:diagnosis* / Q000209:etiology*