G. Gayer et al., CT diagnosis of delayed presentation of congenital diaphragmatic hernia simulating massive pleuropneumonia, EUR RADIOL, 9(8), 1999, pp. 1672-1674
A case of an 11-month-old infant with a delayed presentation of congenital
diaphragmatic hernia is reported. Incarceration of the herniated colon caus
ed a misleading appearance on the chest X-ray which was interpreted as mass
ive pleuropneumonia. Computed tomography, performed because of continuing d
eterioration in the clinical condition, showed fluid,filled bowel loops in
the chest and dilated bowel loops with air-fluid levels in the abdomen, sug
gesting the correct diagnosis.