CONGENITAL RIGHT DIAPHRAGMATIC HERNIA ASSOCIATED WITH FALLOT'S TETRALOGY BY

Congenital diaphragmatic hernia is an uncommon condition, especially when right sided and associated with the tetralogy of Fallot. Either of these conditions may cause cyanosis of the newborn and present difficulties in exact diagnosis. It is well known that the early diagnosis of the tetralogy is often impossible; a cardiac lesion may be suspected, but its exact nature remains obscure. CASE HISTORY The patient was the first born child to the Italian wife of a white American soldier. The mother, aged 18 years, had enjoyed normal health during pregnancy and had not been in known contact with rubella or influenza. In neither side of the family had a congenital defect been known to occur in previous generations. At birth (31.5.49) the child was noticed to be cyanosed and feeble with rapid, shallow respirations. The right side of the chest failed to move with the left on respiration and the apex beat was shifted to the left. Normal air entry was present on the left and absent on the right side. The heart sounds were clear and of good quality. No murmurs were heard. The abdomen had a hollow appearance, quit