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CC BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e63-e65
DOI: 10.1055/s-0038-1667357
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Congenital Diaphragmatic Hernia Presenting with Tension Pneumothorax in a 3-Year-Old Boy

Maren Friederike Balks
1   Departement of Pediatric Surgery, Universitatsklinikum Leipzig, Leipzig, Sachsen, Germany
,
Jan-Hendrik Gosemann
1   Departement of Pediatric Surgery, Universitatsklinikum Leipzig, Leipzig, Sachsen, Germany
,
Ina Sorge
2   Departement of Pediatric Radiology, Universitatsklinikum Leipzig, Leipzig, Sachsen, Germany
,
Martin Lacher
1   Departement of Pediatric Surgery, Universitatsklinikum Leipzig, Leipzig, Sachsen, Germany
,
Franz Wolfgang Hirsch
2   Departement of Pediatric Radiology, Universitatsklinikum Leipzig, Leipzig, Sachsen, Germany
› Author Affiliations
Further Information

Publication History

29 June 2018

03 July 2018

Publication Date:
22 August 2018 (online)

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Abstract

We report the case of a 3-year-old boy who presented with an upper respiratory tract infection and severe dyspnea. A chest X-ray revealed a left-sided tension pneumothorax with mediastinal shift and suspected enterothorax. After thoracic computed tomography (CT) scan, a chest tube was inserted, which drained fluid which had the same consistency and color as the one derived from the nasogastric (NG) tube. The boy underwent diagnostic laparoscopy for suspected bowel perforation, which confirmed a left-sided Bochdalek hernia with herniation of the viscera into the chest. After repositioning of the herniated organs into the abdomen, a gastric perforation was identified and repaired. This case demonstrates that the cause of a tension pneumothorax in an infant may be a rare combination of congenital diaphragmatic hernia (CDH) and perforation of a visceral hollow organ.

Keywords

tension - pneumothorax - congenital - diaphragmatic - hernia
 

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