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Article
June 1939

DIAPHRAGMATIC HERNIA IN INFANTS: REPORT OF TWO CASES

Arch Surg. 1939;38(6):979-989. doi:10.1001/archsurg.1939.01200120002001
Abstract

Congenital hernia of the diaphragm may be encountered at any stage of life and may attain a considerable size without becoming incompatible with fairly good health. It is seen frequently in the newborn and occasionally in the aged. Few infants, however, live long if obstructive symptoms develop, and most of them die within a few hours or at most a few days after birth. Furthermore, successful operative results in infants under 1 year of age are few, as may be seen from the report of Orr,1 who in a careful survey of the literature up to 1936 found records of only 17 infants who had been operated on and of only 8 who had survived the surgical procedure.2 One cannot read the details of these reports without coming to the conclusion that the high mortality is due to the difficulty in making an early diagnosis, the trouble encountered

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