Ból brzucha u 7-letniego chłopca – późny objaw przepukliny przeponowej

Abstract

Abdominal pains in children pose diagnostic difficulties due to their diverse aetiology. The article describes a 7-year-old boy in whom a cause of acute abdominal pain turned out to be posterolateral diaphragmatic hernia which manifested itself atypically late, imitating additionally acute pancreatitis. The diagnostics process was applied, which, after excluding more characteristic causes for this age, led to the correct diagnosis. This case indicates the possibility of disclosure of diaphragmatic hernia in older children, and thus the necessity of widening diagnostics procedures in case of atypical complex of symptoms and the immense significance of modern imaging examinations in determining the correct diagnosis.