Delayed presentation of congenital diaphragmatic hernia

2002 ◽  
Vol 18 (5-6) ◽  
pp. 480-485 ◽  
Author(s):  
Essam Elhalaby ◽  
Magda Abo Sikeena
Hernia ◽  
2011 ◽  
Vol 17 (3) ◽  
pp. 403-407 ◽  
Author(s):  
S. Singh ◽  
A. Wakhlu ◽  
A. Pandey ◽  
S. N. Kureel ◽  
J. D. Rawat

2015 ◽  
Vol 4 (36) ◽  
pp. 6327-6331
Author(s):  
Allena Premkumar ◽  
Namballa Usha Rani ◽  
Yellapu Gayatri ◽  
Gorantla Sambasiva Rao ◽  
Silla Monisha

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
G. Krishna Kumar ◽  
U. Mallikarjun ◽  
D. Reshma

Abstract Background Delayed presentation of congenital diaphragmatic hernia is an uncommon event. Occurrence of gastric volvulus with massive necrosis in this setting is unusual. In this difficult scenario, the surgeon is faced with the dilemma of conservation or resection. Case presentation A 1-year-old boy with vague gastrointestinal symptoms was found to have congenital diaphragmatic hernia with gastric volvulus, on imaging. The stomach showed massive necrosis secondary to volvulus, and after removal of the necrotic body of the stomach, the remnant was sutured together. Conclusion Congenital diaphragmatic hernia is difficult to diagnose in late presenters beyond the neonatal period due to lack of respiratory symptoms. Stomach salvage is feasible even in severe vascular compromise due to extensive collaterals.


2020 ◽  
Vol 2020 ◽  
pp. 1-3
Author(s):  
Kam Lun Hon ◽  
Ronald C. M. Fung ◽  
Alexander K. C. Leung

Delayed presentation of congenital diaphragmatic hernia (CDH) with acute respiratory distress beyond the newborn period may poise challenges in diagnosis and management. We report a 3-month-old infant who presented with acute-onset respiratory distress and left congenital diaphragmatic hernia that was relieved with thoracoscopic repair. CDH must be differentiated from pneumothorax or pulmonary cyst. Erroneous diagnosis and treatment with thoracocentesis could be disastrous. Pediatricians and surgeons must be aware of this condition to allow early diagnosis and expeditious management. Subcutaneous emphysema should not be misdiagnosed as pneumothorax and management is expectant.


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