腹部食道破裂を伴ったBochdalekヘルニアの1例

抄録

A case of congenital diaphragmatic hernia associated with esophageal rupture is reported. Apgar score of this full-term female neonate weighing 3650gms was 6. She developed tachy-pnea and occasional cyanosis soon after her birth. Chest and abdomial X-ray was compatible with congenital left-sided diaphragmatic hernia, but no free air was detected on the films. She was operated on 9 days after birth. In addition to the left posterolateral diaphragmatic hernia without sac, a rapture probably due to incarceration was found in the anterior wall of the lower esophagus. The diaphragmatic defect as well as rupture were repaired successfully and her postoperative course was uneventful. Since complication of the esopageal rupture in congenital diaphragmatic hernia is very rare but serious, the authors described in detail.