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Hernia congénita del diafragma; Hernia del diafragma
La dificultad respiratoria grave casi siempre se presenta poco después de que el bebé nace, debido al movimiento ineficaz del diafragma y al apiñamiento del tejido pulmonar, lo cual causa atelectasia.
Otros síntomas abarcan:
La madre embarazada puede tener cantidades excesivas de líquido amniótico. Una ecografía fetal puede mostrar los contenidos abdominales en la cavidad torácica.
Un examen del bebé muestra:
Una radiografía de tórax puede mostrar órganos abdominales en la cavidad torácica.
Ehrlich PF, Coran AG. Diaphragmatic hernia. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 101.
Keijzer R, Puri P. Congenital diaphragmatic hernia. Semin Pediatr Surg 2010 Aug; 19(3): 180-5.
Puri P, Nakazawa N. Congenital diaphragmatic hernia. In: Puri P, Hollworth M, eds. Pediatric surgery: diagnosis and management. Springer, 2009: chapter 31.
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