Early diagnosis of Wolf-Hirschhorn syndrome triggered by a life-threatening event: Congenital diaphragmatic hernia

2004 ◽  
Vol 127A (2) ◽  
pp. 194-196 ◽  
Author(s):  
M.F. van Dooren ◽  
A.S. Brooks ◽  
A.J.M. Hoogeboom ◽  
T.L. van den Hoonaard ◽  
J.E.M.M. de Klein ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Life Threatening ◽  
Life Threatening Event

Tetralogy of Fallot with congenital diaphragmatic hernia and left lung hypoplasia: assessment of the adequacy of the peripheral pulmonary vascular growth after hernia repair

2011 ◽  
Vol 22 (2) ◽  
pp. 235-238 ◽  
Author(s):  
Hong Ju Shin ◽  
Won Kyoung Jhang ◽  
Tae Jin Yun
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Tetralogy Of Fallot ◽  
Diaphragmatic Hernia ◽  
Left Lung ◽  
Lung Hypoplasia ◽  
Vascular Growth ◽  
Threatening Condition ◽  
Central Pulmonary Artery ◽  
Life Threatening ◽  
Vascular Beds

AbstractCongenital diaphragmatic hernia is a life-threatening condition frequently associated with various congenital cardiac diseases. In congenital diaphragmatic hernia associated with tetralogy of Fallot, central pulmonary artery size of the affected side may not reflect the capacitance of peripheral pulmonary vascular beds. We report a case of congenital diaphragmatic hernia associated with tetralogy of Fallot, which was repaired after assessing the adequacy of the pulmonary vascular beds by intra-operative pulmonary blood flow study.

Prostaglandin E1 in infants with congenital diaphragmatic hernia (CDH) and life-threatening pulmonary hypertension

2020 ◽  
Vol 55 (9) ◽  
pp. 1872-1878
Author(s):  
Kévin Le Duc ◽  
Sébastien Mur ◽  
Dyuti Sharma ◽  
Estelle Aubry ◽  
Morgan Recher ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Prostaglandin E1 ◽  
Life Threatening

scholarly journals Delayed presentation of diaphragmatic hernia in a young and fit patient requiring emergency management

1970 ◽  
Vol 6 (3) ◽  
pp. 50-51
Author(s):  
SM Tuladhar ◽  
VK Sharma
Keyword(s):  
Peptic Ulcer ◽  
Early Diagnosis ◽  
Emergency Management ◽  
Diaphragmatic Hernia ◽  
Tension Pneumothorax ◽  
Peptic Ulcer Perforation ◽  
Delayed Presentation ◽  
Medical Sciences ◽  
Life Threatening ◽  
Life Threatening Complication

Diaphragmatic hernia, when they do present in adults, can manifest as a life threatening complication. Symptoms might initially be minimal in young and fit patients. They can also easily mimic complications like peptic ulcer perforation or tension pneumothorax and early pathophysiological correlation is required to reach an early diagnosis and treatment. DOI: 10.3126/jcmsn.v6i3.4077Journal of College of Medical Sciences-Nepal, 2010, Vol. 6, No. 3 pp.50-51

scholarly journals Traumatic Diaphragmatic Hernia: Management and Review

2021 ◽  
pp. 1-3
Author(s):  
Sweety kumari ◽  
Keyword(s):  
Early Diagnosis ◽  
Blunt Trauma ◽  
Diaphragmatic Hernia ◽  
Diagnosis And Treatment ◽  
Therapeutic Tool ◽  
Penetrating Injuries ◽  
Traumatic Diaphragmatic Hernia ◽  
Delay In Diagnosis ◽  
Life Threatening ◽  
Suspicion Index

Traumatic diaphragmatic injury (TDI) is a fairly uncommon with incidence of 0.8 and 1.6 %, commonest fallowing blunt trauma abdomen. Right-side have higher mortality rate compared to left side and penetrating injuries. It present as occult to obvious. Laparoscopy offers diagnostic and therapeutic tool of care. Lack of awareness of the condition may delay in diagnosis, results life threatening complications. Missed hernia is a known complication of blunt trauma as acute diagnosis can be difficult to ascertain. An early diagnosis and treatment lead to better outcome. In present study CECT revealed acute diaphragmatic hernia, bilateral pleural effusion and hair line fracture of right tibia on skiagram limb. Because of uncertainty in diagnosis of acute diaphragmatic hernia or rupture surgeons faces challenges for the management, high suspicion index required to diagnose the cases. An early diagnosis and treatment lead to better outcome

scholarly journals Left-Sided Congenital Diaphragmatic Hernia with Multiple Congenital Cardiac Anomalies, Hernia Sac, and Microscopic Hepatic Heterotopia: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Maria Arafah ◽  
Deena T. Boqari ◽  
Khaled O. Alsaad
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Congenital Anomalies ◽  
Pathological Finding ◽  
Hepatic Tissue ◽  
Multiple Congenital Anomalies ◽  
Hernia Sac ◽  
Congenital Cardiac Anomalies ◽  
Life Threatening ◽  
Uncertain Etiology

Congenital diaphragmatic hernia is a common congenital anomaly of uncertain etiology. Its association with multiple congenital anomalies in various organs is well recognized and antenatal radiological evidence of congenital diaphragmatic hernia warrants thorough evaluation to detect other anomalies, some of which can be life threatening. Rarely, heterotopic hepatic tissue is identified in the hernia, a rare pathological finding, exhibiting more than one macroscopic and microscopic characteristics, and always associated with cardiac congenital anomalies. Herein, we report a case of left-sided microscopic heterotopic hepatic tissue in a congenital diaphragmatic hernia in an infant with multiple cardiac congenital anomalies, but with preserved pericardium.

scholarly journals LAMOTRIGINE INDUCED DRESS SYNDROME

2017 ◽  
Vol 10 (9) ◽  
pp. 3
Author(s):  
Saurab Agarwal ◽  
Balaji Ommurugan ◽  
Amita Priya ◽  
Mohan Amberkar ◽  
Meena Kumari Kamalkishore
Keyword(s):  
Early Detection ◽  
Early Diagnosis ◽  
Hypersensitivity Reaction ◽  
Rare Case ◽  
Dress Syndrome ◽  
Early Recovery ◽  
Life Threatening ◽  
Drug Rash ◽  
Systemic Symptoms ◽  
Life Threatening Event

Drug rash with eosinophilia and systemic symptoms (DRESS) syndrome, is a type of hypersensitivity reaction, mainly due to anti-epileptic drugs. Lamotrigine is a newer broad spectrum antiepileptic that can be used in both children and adults. Lamotrigine induced DRESS syndrome is a rare case with incidence of 1/1000 to 1/10000. This syndrome manifests as rash, fever, tender lymphadenopathies, hepatitis, and eosinophilia. This case highlights the need for early diagnosis and treatment of such a rare and life threatening event because early detection of the condition leads to early recovery of the patient. Further re-exposure to the drug should be avoided.  

Late-Presenting Congenital Diaphragmatic Hernia: A Potentially Life Threatening Case

2009 ◽  
Vol 16 (2) ◽  
pp. 102-105 ◽  
Author(s):  
HY Chan ◽  
CC Wong ◽  
F Ng
Keyword(s):  
Respiratory Distress ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Clinical Symptoms ◽  
Late Onset ◽  
Sudden Onset ◽  
Mediastinal Shift ◽  
Wide Range ◽  
Urgent Operation ◽  
Life Threatening

Congenital diaphragmatic hernia (CDH) generally presents with respiratory distress in the neonatal period. Late onset CDH is less common and is associated with a wide range of clinical symptoms. We report a case of a 4-year-old child presenting with sudden onset of dizziness, abdominal pain and vomiting after swimming. Radiological investigations showed a left CDH with mediastinal shift. She gradually developed respiratory distress after admission. Urgent operation showed that the contents of the hernia included stomach, spleen, small and large bowels. This case highlights the importance of suspicion of CDH, proper clinical examination and investigation of children with acute non-specific gastrointestinal complaints.

scholarly journals Differences in Outcomes in Prenatally Diagnosed Congenital Diaphragmatic Hernia Compared to Postnatal Detection: A Single-Center Experience

2015 ◽  
Vol 39 (4) ◽  
pp. 241-247 ◽  
Author(s):  
Carmen Mesas Burgos ◽  
Jenny Hammarqvist-Vejde ◽  
Björn Frenckner ◽  
Peter Conner
Keyword(s):  
Early Diagnosis ◽  
Extracorporeal Membrane Oxygenation ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Retrospective Review ◽  
Survival Rates ◽  
Single Center ◽  
Severe Condition ◽  
Single Center Experience ◽  
Postnatal Diagnosis

Objectives: To compare outcomes in pregnancies with a prenatal detection of congenital diaphragmatic hernia (CDH) with children diagnosed after birth, treated at the same institution, and to determine the ability to predict prognosis through measurements of the observed to expected lung-to-head ratio (O/E LHR). Methods: This is a retrospective review of all children with CDH treated at our institution during 2006-2014. We compared outcomes of infants referred for surgery after postnatal diagnosis with outcomes of infants with prenatally diagnosed CDH. Results: In the prenatal group, O/E LHR was significantly different between survivors and deceased patients, with a cutoff at 35% O/E LHR. Survival to discharge and 1-year survival were significantly higher in the postnatal group that required intubation within 24 h; i.e., 92 and 89% versus 85 and 73% in the prenatal group (p < 0.05). There was less need for extracorporeal membrane oxygenation (ECMO), 41 versus 60%, and patch, 41 versus 75% (p < 0.001), in the postnatal group with early diagnosis compared with the prenatal group, respectively. Conclusion: Children with prenatally diagnosed CDH represent a population with a more severe condition compared to infants diagnosed after birth. They have poorer outcomes with higher needs for ECMO or use of patch, and lower survival rates were observed at an O/E LHR below 35%.

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