[Diaphragmatic hernia--admitted under the gallstone diagnosis].

Abstract

A 34-year old woman was admitted with pain in the upper right abdomen. The tentative diagnosis was gall stones, but none of the paraclinical results supported this diagnosis. A chest x-ray showed a completely white right lung. A later computertomography showed a colon-loop in the thorax and haemo-/pneumothorax. The patient's condition deteriorated, a life-threatening state of sepsis developed and she was transferred to a surgery facility where an incarcerated congenital diaphragmatic hernia was established. After surgery she was discharged with a temporary ostomy, but otherwise feeling well.

• Authors: Anders Hejmdal, Akram Dakhil, Thomas Boel
• Journal: Ugeskrift for laeger (Ugeskr Laeger) Vol. 171 Issue 1-2 Pg. 33-4 (Jan 05 2009) ISSN: 1603-6824 [Electronic] Denmark
• Vernacular Title: Diafragmahernie--indlagt under diagnosen galdestensanfald.
• PMID: 19128562 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Colonography, Computed Tomographic
• Diagnosis, Differential
• Female
• Gallstones (diagnosis)
• Hemopneumothorax (diagnostic imaging)
• Hernia, Diaphragmatic (diagnosis, surgery)
• Hernias, Diaphragmatic, Congenital
• Humans