Congenital diaphragmatic hernia: an unusual presentation

نویسندگان

چکیده

Congenital diaphragmatic hernia is a developmental defect of the diaphragm that allows herniation abdominal contents into thoracic cavity. It usually diagnosed in neonatal period. Late presenting cases are uncommon and difficult to diagnose, due their rarity diversity semiology, with clinical presentation overlapping other more frequent pathologies. We report case 14-month-old male, history several episodes bronchial hyperresponsiveness, presented two-day nasal obstruction, emetizing cough respiratory distress, without associated symptoms. On physical examination we observed 95% oxygen saturation, tachycardia, pallor, signs decreased breathing sounds left hemithorax excavated abdomen. Chest radiography revealed presence intestinal loops hemithorax, contralateral mediastinal deviation, suggesting hernia. Surgical correction was performed direct closure posterolateral defect. This highlights importance evaluation considering this entity persistent gastrointestinal or symptoms, all age groups.

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ژورنال

عنوان ژورنال: International Journal of Contemporary Pediatrics

سال: 2022

ISSN: ['2349-3283', '2349-3291']

DOI: https://doi.org/10.18203/2349-3291.ijcp20220095