Congenital Diaphragmatic Hernia and Intrathoracic Intestinal Volvulus

Bochdaleck diaphragmatic hernia, complicated by an antenatal gastric perforation, presenting as a pneumothorax and a perforative peritonitis

“…In the international literature (Table 1) there are several reports describing features that differ from the typical symptoms of CDH: intrathoracic intestinal obstruction [8][9][10][11][12][13][14], intrathoracic massive gastric enlargement [15][16][17][18], acute gastric volvulus [4,[19][20][21][22], strangulated diaphragmatic hernia [5-8, 10, 13, 23, 24], jaundice [30], meconium peritonitis [31], acute pancreatitis [30][31][32], peritoneal and thoracic bleeding [33,34], pleuritis [36], lung cyst [17], torsion of the spleen [40], gastro-intestinal perforation [30,[37][38][39].…”

“…CDH appears rarely outside of the neonatal period, and exceptionally also at birth, with different clinical-radiological features [1][2][3][4][5][6][7] as, e.g., an intrathoracic intestinal obstruction [8][9][10][11][12][13][14] or an intrathoracic gastric dilatation [15][16][17][18].…”