Congenital diaphragmatic hernia in a post-partum woman.
Congenital diaphragmatic hernia in a post-partum woman.
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产后妇女的先天性膈疝。
DOI：
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发表时间：
2003
期刊：
影响因子：
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通讯作者：
M. Abdullah
中科院分区：
文献类型：
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作者：
M. Abdullah
摘要先天性膈疝（CDH）在成人中是罕见的。我们报告了一位24岁的女性，在她的第一个孩子出生后出现呼吸短促，胸痛和恶心。临床检查，x线平片和CT扫描显示腹部内容物突出到左胸。通过中线剖腹手术，减少内容物并使用补片修复缺损。手术后的三年里，甚至在第二次分娩后，她仍然没有出现任何症状。简要回顾文献报道先天性成人膈疝伴本病例报告。我们的结论是，成人有症状的CDH通常表现为胃肠道和偶尔呼吸道并发症的紧急情况。早期诊断和修复对于避免随后的发病率和死亡率至关重要。
Congenital diaphragmatic hernia (CDH) is rare in adults. We report a 24 year old woman presenting with shortness of breath, chest pain and nausea after the birth of her first baby. Clinical examination, plain radiography and a CT scan revealed herniation of abdominal contents into her left chest. Via a midline laparotomy, the contents were reduced and the defect repaired, using a mesh. She remains symptom-free three years since her surgery and even after a second childbirth. A brief review of the literature reporting adult diaphragmatic hernia of congenital origin accompanies this case report. We conclude that symptomatic CDH in adults usually presents as an emergency with gastrointestinal and occasionally respiratory complications. Early diagnosis and repair is essential to avoid subsequent morbidity and mortality.