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Case Reports
August 1943


Am J Dis Child. 1943;66(2):143-149. doi:10.1001/archpedi.1943.02010200043006

The occurrence of a true congenital diaphragmatic hernia of the right dome is sufficiently infrequent to warrant report of an additional case.

REPORT OF A CASE  T. H., a white boy, responded promptly to resuscitation and appeared perfectly normal at birth. At the end of the second week, the mother noticed the infant's respiratory rate seemed unusually rapid. He seemed normal in all other respects.When T. H. was 7 weeks old, he was seen by one of us. The respiratory rate was greatly accelerated, and there was a pronounced retraction of the interspaces with each respiration. The conformity of the thoracic cage was disturbed by a definite bulging of the right anterior portion of the wall of the chest. The nail beds of the fingers and toes had a slightly cyanotic appearance. The trachea was deviated to the left. The heart was percussible to the left anterior axillary line.

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