Conclusions
1. The symptoms and physical signs of diaphragmatic hernia are varied and complex; clinical diagnosis is difficult without X-ray examination.
2. Diaphragmatic hernia is frequently mistaken for disease of the gall bladder, stomach, heart and lungs.
3. Obscure chest and abdominal symptoms demand X-ray of the gastro-intestinal tract as well as of the chest to rule out hernia.
4. Respiratory difficulty and recurrent obstructive symptoms in infants and children should lead to a suspicion of diaphragmatic hernia.
5. Diaphragmatic hernia should be suspected in crushing injuries of the chest and abdomen.
6. The mortality of those operated on before obstruction has occurred has in recent years not been higher than that of other abdominal operations.
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Bowen, A. Volvulus of an inverted intrathoracic stomach complicating diaphragmatic hernia—Case report. American Journal of Digestive Diseases and Nutrition 3, 923–928 (1936). https://doi.org/10.1007/BF02999297
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DOI: https://doi.org/10.1007/BF02999297