IMAGES IN EMERGENCY MEDICINE
Congenital diaphragmatic hernia
Radiology Department, General Hospital of Rhodes, Rhodes, Greece
Correspondence to:
Dr A A K Kotis, Radiology Department, General Hospital of Rhodes, Agii Apostoli, Rhodes 85100, Greece; kotisnet@otenet.gr
Accepted 5 July 2007
| The first 150 words of the full text of this article appear below. |
A female infant aged 5.5 months of Balkan origin arrived at the emergency department of our hospital with fever of 38.8°C, tachypnoea of 60 breaths per minute, heart rate of 110 beats per minute and oxygen saturation of 100%. The patient was admitted to the Paediatric Clinic and underwent full laboratory and culture tests, which were negative for infection. Initial chest x ray at admittance showed a consolidation of the left upper lobe of the left lung and the presence of air in the left hemithorax, which was believed to be probably the lower gastrointestinal tract. The patient was given a few millilitres of diluted gastrografin to swallow by mouth for the exclusion of tracheo-oesophageal fistula and localisation of the abdominal contents (stomach). It was decided to move the patient to a paediatric hospital but she died during transport. At autopsy bowel loops (left colonic flexure) were found in the
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