乳児期以降に発症した先天性横隔膜ヘルニア18例の検討

概要

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Eighteen cases of diaphragmatic hernia who developed clinical symptom after neonatal period are reported. Their ages ranged from 1 month to 3 2/12 years. Five cases (28%) were rightsided diaphragmatic hernia. Three cases (11%) had hernial sac. Fourteen cases presented nausea, vomiting, appetite loss, etc. as primary symptoms, whereas 3 cases aged under 5 months presented respiratory distress. Primary repair was performed in all cases and postoperative courses were unesentful. In operative findings, 13 cases revealed an incarcerated organ to be only intestine, while other cases involved liver and/or spleen besides intestine. Its mortality rate is quite different from encountered during neonatal period, i.e. 31% (9/29). In 5 cases, previously taken X ray showed normal findings. This fact suggests that in those cases herniation may have developed after birth, and that normal X-ray views do not always deny letent diaphragmatic hernia.
日本小児外科学会の論文
1989-02-20