Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Spontaneous Rupture of the Diaphragm in an 8 Years-old Girl with Nephrotic Syndrome

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  • Lee, Seong-Cheol (Department of Surgery, Seoul National University College of Medicine) ;
  • Kim, Ki-Hong (Department of Surgery, Seoul National University College of Medicine)
  • 이성철 (서울대학교 의과대학 외과학교실) ;
  • 김기홍 (서울대학교 의과대학 외과학교실)
  • Published : 2000.06.30
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Abstract

Spontaneous rupture of the eventrated diaphragm is not common. The authors report a case of spontaneous rupture of the congenital diaphragmatic eventration. An 8 year-old girl with right congenital diaphragmatic eventration and nephrotic syndrome was seen in emergency room because of severe abdominal pain and vomiting. She had intermittent abdominal pain for 1 year. Plain chest X-ray and ultrasonography showed entrapped bowels in the right thoracic area. Exploratory laparotomy revealed a ruptured right eventration. THE displaced abdominal viscera were repositioned into the abdominal cavity and the ruptured diaphragm was trimmed and plicated. The postoperative course was uneventful. Only one case of spontaneous rupture of eventrated diaphragmatic has been reported in the English literature.

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