DELAYED APPEARANCE OF RIGHT DIAPHRAGMATIC-HERNIA ASSOCIATED WITH GROUP-B STREPTOCOCCAL INFECTION IN NEWBORNS

被引:18
作者
MCCARTEN, KM
ROSENBERG, HK
BORDEN, S
MANDELL, GA
机构
[1] CHILDRENS HOSP, DEPT RADIOL, PHILADELPHIA, PA 19104 USA
[2] MASSACHUSETTS GEN HOSP, DEPT RADIOL, BOSTON, MA 02114 USA
[3] HAHNEMANN MED COLL & HOSP, DEPT RADIOL, PHILADELPHIA, PA 19102 USA
关键词
D O I
10.1148/radiology.139.2.7012924
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Right diaphragmatic hernia should be considered when an infant with Group B streptococcal infection shows deterioration. Although the diaphragm appears radiologically normal at first, increased density is seen in the right lower lobe shortly thereafter, indicating pneumonia and/or irregular aeration. Pleural effusion may develop over the next few days. Characteristically, the bowel gas on the right and the liver shadow gradually become elevated and the heart and mediastinal structures shift into the left hemithorax; loops of bowel may be seen in the right hemithorax. Static plain views should confirm hernia or eventration, necessitating immediate surgery.
引用
收藏
页码:385 / 389
页数:5
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