抄録
Late-onset Bochdalek's hernia is rare enough to be frequently diagnosed incorrectly. We present a case of lateonset Bochdalek's hernia associated with severe dyspnea and cyanosis. A 14-month-old female infant was admitted to our emergency clinic due to severe dyspnea and cyanosis. A chest radiogram and computed tomographic (CT) scan revealed a gastrointestinal shadow in the left thorax, necessitating emergency surgery that confirmed Bochdalek's hernia. Although left lung dysplasia was observed, we found no other malformation. A few days later, the endotracheal tube was extubated and the patient had an uneventful recovery. Symptoms, signs, and radiologic findings in patients with diaphragmatic hernia after the neonatal period are difficult to diagnose, and may result in misdiagnosis. Diaphragmatic hernia should thus be considered when examining infants suffering from severe dyspnea.
