scholarly journals Resolving cavitary pnemonia presenting as late-onset congenital diaphragmatic hernia

1994 ◽  
Vol 9 (7) ◽  
Author(s):  
EssamA. Elhalaby ◽  
RonaldB. Hirschl ◽  
Alan Schlesinger ◽  
ArnoldG. Coran
2013 ◽  
Vol 4 (11) ◽  
pp. 952-954 ◽  
Author(s):  
Marcel Tapia Vega ◽  
Regina Herbas Maldonado ◽  
Gretty Tapia Vega ◽  
Alenka Tapia Vega ◽  
Elisafat Arce Liévano ◽  
...  

2009 ◽  
Vol 16 (2) ◽  
pp. 102-105 ◽  
Author(s):  
HY Chan ◽  
CC Wong ◽  
F Ng

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.


2021 ◽  
Vol 16 (1) ◽  
pp. 283-287
Author(s):  
Firdaus Hayati ◽  

A congenital diaphragmatic hernia is very uncommon among adults. A diaphragmatic hernia is primarily acute in onset and it is usually identified after trauma. It occurs mostly on the left side. We would like to report a 68-year-old male who presented with a 4-day history of acute intestinal obstruction with a background history of change in bowel habit for a month secondary to a right diaphragmatic hernia. He did not have any history of trauma. Clinical examination revealed a distended abdomen with high pitched bowel sound and no palpable mass. The right lung was inaudible on auscultation. Computed tomography scan was consistent with a right diaphragmatic hernia and acute intestinal obstruction. We highlight the late onset of a congenital diaphragmatic hernia and emphasize the vital need for perioperative management to ensure a promising surgical outcome.


2018 ◽  
Vol 06 (01) ◽  
pp. e100-e103
Author(s):  
Chiara Iacusso ◽  
Francesco Morini ◽  
Irma Capolupo ◽  
Andrea Dotta ◽  
Stefania Sgrò ◽  
...  

AbstractLung hypoplasia and pulmonary hypertension (PH) in association with congenital diaphragmatic hernia (CDH) may cause fatal respiratory failure. Lung transplantation (Ltx) may represent an option for CDH-related end-stage pulmonary failure. The aim of this study is to report a patient with CDH who underwent Ltx or combined heart-lung transplantation (H-Ltx). Our patient was born at 33 weeks of gestation, with a prenatally diagnosed isolated left CDH. Twenty-four hours after birth, she underwent surgical repair of a type D defect (according to the CDH Study Group staging system). Postoperative course was unexpectedly uneventful, and she was discharged home at 58 days of life. Echocardiography before discharge was unremarkable. Periodic follow-up revealed gastroesophageal reflux (GER) and initial scoliosis. At the age of 10, she was readmitted for severe PH. Lung function progressively deteriorated, and at the age of 14, she underwent H-Ltx due to end-stage respiratory failure. After discharge, she developed recurrent respiratory tract infections, severe malnutrition, and drug-induced diabetes. Scoliosis and GER progressed, requiring posterior vertebral arthrodesis and antireflux surgery, respectively. Bronchiolitis obliterans further impaired her respiratory function, and though she had a second Ltx, she died at the age of 18, 4 and 1.5 years after the first and the second Ltx, respectively. Late-onset PH is an ominous complication of CDH. From our patient and the six further cases collected from the literature, Ltx may be considered as a last-resource treatment in CDH patients with irreversible and fatal respiratory failure, although its prognosis seems unfair.


2019 ◽  
Vol 32 (3) ◽  
pp. 1154
Author(s):  
AdityaP Singh ◽  
ArunK Gupta ◽  
Ramesh Tanger ◽  
DineshK Barolia

2010 ◽  
Vol 17 (03) ◽  
pp. 516-519
Author(s):  
MEHRSIMA ABDOLLAHZADEH ◽  
FARNOUSH FARZI ◽  
MOHAMMAD HOSSEIN GHORBANI ◽  
Sasan Bozorgi Far

We report a case of late-presenting congenital diaphragmatic hernia (CDH) in a three-month-old male infant presenting to the pediatric hospital with attacks of cough and cyanosis .Although CDH is usually manifested on the first day of life, there are a number of case reports of late-presenting CDH usually presenting with respiratory or gastrointestinal symptoms. In this case report, we have focused on the anesthetic management of late-presenting CDH. Text: Congenital diaphragmatic hernia is usually manifested on the first days of life as respiratory distress and a scaphoid abdomen. The abnormality is herniation of the abdominal viscera through a defect in the diaphragm, most commonly the foramen of Bochdalek on the left side1. These infants often have a dramatic presentation3, in contrast, late onset or late- presenting CDHs present outside the neonatal period with variable signs and symptoms4. We describe a case of late-presenting CDH that referred to the pediatric hospital with attacks of cough and cyanosis.


2016 ◽  
Vol 13 ◽  
pp. 10-12 ◽  
Author(s):  
Keisuke Jimbo ◽  
Reiko Kyoudo ◽  
Yuta Yazaki ◽  
Kana Ohno ◽  
Takashi Doi ◽  
...  

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