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October 1952


AMA Am J Dis Child. 1952;84(4):436-438. doi:10.1001/archpedi.1952.02050040044004

PARAESOPHAGEAL hiatus hernia is a congenital defect that is usually found only in adults. Its incidence in general is fairly low, while in infants or the newborn it is extremely low. The paradox of finding an adult type of diaphragmatic hernia in a newborn infant is unique. We are reporting such a case.

REPORT OF A CASE  I. S., a full-term white girl, was born on Dec. 8, 1951. She appeared normal at birth, but later, when feedings were begun, regurgitation with slight cyanosis was noticed at every attempt to swallow. Physical examination revealed good ventilation of both lungs. The heart tones were clear, and the abdomen was soft. A catheter passed into the esophagus would encounter an obstruction in the distal portion.Chest x-rays showed a gas-filled viscus in the mediastinum to the right and dorsally from the heart. The diagnosis of diaphragmatic hernia was confirmed by an iodized

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