Imagiological case

Authors

  • Teresa Pena Pediatric Department of Centro Hospitalar Tâmega e Sousa
  • Ana Lúcia Cardoso Pediatric Department of Centro Hospitalar Tâmega e Sousa
  • Sara Soares Pediatric Department of Centro Hospitalar Tâmega e Sousa
  • Susana Lira Pediatric Department of Centro Hospitalar Tâmega e Sousa
  • Sónia Lira Pediatric Department of Centro Hospitalar Tâmega e Sousa
  • Edite Tomás Pediatric Department of Centro Hospitalar Tâmega e Sousa
  • Ribeiro de Castro Pediatric Surgery Department of Centro Hospitalar do Porto
  • Ferreia de Sousa Pediatric Surgery Department of Centro Hospitalar do Porto
  • Sandra Teixeira Pediatric Department of Centro Hospitalar Tâmega e Sousa

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v25.i3.10087

Keywords:

cough, hiatus hernia

Abstract

Introduction: Cough is one of the main reasons to seek medical care. Although in most cases there is an underlying viral infection or allergic etiology, sometimes unexpected diagnosis arise.

Case report: We report the case of a 19 months old girl, with no prior medical history, taken to the emergency department for wet cough and rhinorrhea with no fever for the last 3 weeks. Mother reported signs of difficulty in breathing and partial food refusal. At admission she was polypneic with subcostal retraction and pulmonary auscultation revealed diminished breath sounds and prolonged expiratory time with wheezing. Blood testing was normal. Chest radiograph showed a large cystic image on the right hemithorax. Thoracic CT scan documented an intrathoracic stomach. Laparoscopy confirmed the presence of a paraesophageal hernia and Nissen fundoplication was performed. She was asymptomatic afterwards.

Discussion: Hiatus hernia is rare in paediatric age. and it was an unexpected finding in the case described. So, despite its rarity, anatomical anomalies should be considered in the differential diagnosis of persistent cough.

References

J E Rees, S Robertson, A W McNinch. Congenital para-oe- sophageal hiatus hernia: an interesting family history. Emerg Med J 2004;21: 749-50.

Peter JK. Hiatus hernia. Setembro 2015. Disponível em

http://www.uptodate.com

Adriana F, M Laura M, Viviana Z. Hernia del hiato esofágico. Arch.argent.pediatr 2006; 104(1): 89-90.

Rosen M et al. Paraesophageal hernia: Clinical features and surgical repair. Abril 2016.

Disponível em http://www.uptodate.com.

Published

2016-09-30

How to Cite

Pena, T., Cardoso, A. L., Soares, S., Lira, S., Lira, S., Tomás, E., de Castro, R., de Sousa, F., & Teixeira, S. (2016). Imagiological case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 25(3), 190–192. https://doi.org/10.25753/BirthGrowthMJ.v25.i3.10087

Issue

Section

Imaging Cases

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