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PNÖMOTORAKS OLARAK YANLIŞ TANI ALAN BİR KONJENİTAL DİYAFRAGMAHERNİSİ OLGUSU

A CASE OF CONGENITAL DIAPHRAGMATIC HERNIA MISDIAGNOSED AS PNEUMOTHORAX

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2006

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Keywords (Original Language):

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Abstract (2. Language): 
A 28 day- old girl who had tashipnea and difficulty in breathing was referred to the Children Emergency Unit in our hospital. In the postero-anterior X-ray of the chest, appearance of free air led to the possible diagnosis of pneumothorax. Based on X-ray appearance, a chest tube was planned to be placed; before this procedure, ultrasound of the chest was performed to distinguish other possible diagnoses. Chest ultrasonography revealed diaphragmatic hernia. Congenital diaphragmatic hernia (CDH) was confirmed using barium study. Hernia reduction and surgical repairment were performed and the patient was discharged. Although pneumothorax was our initial diagnosis, after the procedures that were performed, the true diagnosis of congenital diaphragmatic hernia was established. Chest ultrasonography seems as a good diagnostic tool when lately presented congenital diaphragmatic hernia is suspected. This case of congenital diaphragmatic hernia misdiagnosed as pneumothorax was presented here in order to attract attention to pneumothorax as a differential diagnosis in patients with CDH.
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Abstract (Original Language): 
Acil çocuk servisine taflipne ve solunum s›k›nt›s› bulgular›yla getirilen 28 günlük bir yenido¤an›n akci- ¤er grafisinde sol akci¤erde pnömotoraks düflündüren serbest hava görünümü mevcuttu. Bu bulgu üzerine toraks tüpü uygulanmas› düflünülen hastaya, olas› di¤er tan›lar› ay›rt etmek için yap›lan toraks ultrasonografisinde, akci¤er grafisinde pnömotoraks olmay›p diyafragma hernisi oldu¤u görüldü; gastrointestinal sistem pasaj grafisiyle konjenital diyafragma hernisi tan›s› kesinlefltirildi. Herni redüksiyonu ve cerrahi tamir yap›ld› ve hasta taburcu edildi. Geç ortaya ç›kan konjenital diyafragma hernisi düflünüldü¤ünde ultrasonografi uygun bir tan› arac›d›r. Bu olgu, ilk düflünülen tan›n›n pnömotoraks olmas› nedeniyle, konjenital diyafragma hernisi ay›r›c› tan›s›na dikkat çekilmek için sunulmufltur.
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  • 2
49-51
  • Turkish

REFERENCES

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