PMID: 2091470Jan 1, 1990Paper

Right-sided congenital diaphragmatic hernia in infants--a report of 5 cases

Akusherstvo i ginekologii︠a︡
I Iordanov, E Marinov

Abstract

1343 dead children, aged 0-14 years, with undergone autopsies at the chair of pathological anatomy of the Higher Medical Institute in the town of Pleven were studied for a 12-year period (1978-1989). There were 29 cases with congenital diaphragmatic hernia (CDH)--2.16%. 5 out of 19 children had right side CDH--0.37%. The ratio right side/total number of CDH was 1:5.8. This ratio is between 1: to 1:8 according to literary data. The observed cases were: male sex--2, female sex--3; stillborn--1, preterm of 1 degree--3. The shortest survival was 2 hours and 20 minutes, the latest manifested CDH was after 2 hours and months and 15 days. The observed cases were described in details in respect to localization and size of defects, hernial content, clinical course, pathologicoanatomic examination and causes of lethal outcome. The decisive role of roentgenological examination in timely establishment of diagnosis is stressed.

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