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Arch Pediatr. 2017 May;24(5):464-467. doi: 10.1016/j.arcped.2017.02.028. Epub 2017 Mar 21.

[Postnatal diagnosis of gastric volvulus revealing congenital diaphragmatic hernia].

[Article in French]

Author information

1
Service des urgences pédiatriques, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France. Electronic address: agathe.aprahamian@aphp.fr.
2
Service des urgences pédiatriques, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
3
Service de radiologie pédiatrique, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
4
Service de chirurgie viscérale pédiatrique, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France.
5
Service des urgences pédiatriques, hôpital Necker-Enfants-Malades, 149, rue de Sèvres, 75015 Paris, France; Faculté de médecine Paris Descartes, 12, rue de l'École de Médecine, 75006 Paris, France.

Abstract

Postnatally diagnosed congenital diaphragmatic hernias (CDH) are rare and have a better prognosis than those diagnosed prenatally. Postnatal symptoms can be respiratory, digestive, or mixed. Gastric volvulus can reveal CDH. Symptoms are pain, abdominal distension, and/or vomiting. Upper gastrointestinal barium X-ray radiography provides the diagnosis. Prognosis is related to early surgical management in complicated forms with intestinal occlusion or sub-occlusion. We report on an infant who presented with vomiting, which revealed gastric volvulus associated with a CDH. Progression was favorable after surgical treatment.

PMID:
28336004
DOI:
10.1016/j.arcped.2017.02.028
[Indexed for MEDLINE]

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