Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature

Ayala, Javier Anaya; Naik‐Mathuria, Bindi; Olutoye, Oluyinka O.

doi:10.1016/j.jpedsurg.2007.11.015

Cited by 43 publications

(32 citation statements)

References 20 publications

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“…2 The late presenting CDH poses considerable diagnostic challenges because of its varied presentation often resulting in diagnostic delay, inappropriate treatment and potential fatal outcome. 3 In our case antenatal USG was normal and the baby presented with refusal to feed and dehydration without any respiratory symptoms. 4 Herniation of gut, malrotation and sepsis might have caused refusal to feed and subsequently hypernatraemic dehydration due to free water loss in excess of the sodium.…”

Section: Discussionmentioning

confidence: 46%

Atypical presentation of congenital diaphragmatic hernia

Puri¹,

Kanitkar

Chand³

et al. 2014

Medical Journal Armed Forces India

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Section: Discussionmentioning

confidence: 46%

Atypical presentation of congenital diaphragmatic hernia

Puri¹,

Kanitkar

Chand³

et al. 2014

Medical Journal Armed Forces India

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“…The presence of a diaphragmatic defect may predispose to volvulus of the stomach because in congenital diaphragmatic hernia gastrosplenic and gastrophrenic ligaments are elongated or absent [10]. Occasionally the gastric volvulus in the Bockdalek hernia can include the pancreatic tail resulting in pancreatitis [11].…”

Section: Discussionmentioning

confidence: 99%

Bockdalek Hernia With Gastric Volvulus With Ischemia in An Adult: A Case Report

2017

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We present an interesting case of a 73-year-old female who presented to the emergency department (ED) with complaints of abdominal pain for the past few days. Patient admitted history of "stomach problems" for the past few years with similar attacks every 3 -4 months and attributed this to her "gallbladder". After her dinner the night before, she started experiencing intense abdominal pain, which prompted her to come to the ED for evaluation. A portable chest X-ray was acquired which showed herniation of the gas-distended stomach overlying the left lung base. CT scan with IV contrast was then performed which confirmed a left-sided diaphragmatic hernia containing the antrum of the dilated stomach but the antrum was twisted to the left of the esophagogastric (EG) junction. There was pneumatosis in the wall of the caudal aspect of the gastric body, suggestive of ischemia. The patient underwent emergent exploratory laparotomy, derotation, partial gastrectomy and gastrostomy where she was found to have an adult Bockdalek hernia on the left side. We discuss this rare case and review relevant literature.

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“…There are three types of Gastric volvulus such as organoaxial, mesenteroaxial, or combined. Increased intraabdominal pressure can lead to fatal results, such as gastric strangulation, ischaemia, perforation, pancreatitis, peritonitis, shock, and death with the mortality of 80% 14-19…”

Section: Discussionmentioning

confidence: 99%

Late-Presenting Congenital Diaphragmatic Hernia in Children: The Experience of Single Institution in Korea

Kim

Chung

2013

Yonsei Med J

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PurposeLate-presenting congenital diaphragmatic hernia (CDH) beyond the neonatal period is rare and often misdiagnosed, with delayed treatment.Materials and MethodsWe retrospectively reviewed our experience with late-presenting CDH over 30 years at a single institution to determine the characteristics of late-presenting CDH for early diagnosis.ResultsSeven patients had operations due to late-presenting CHD in our institution over 30 years. The patients' ages ranged from 2.5 months to 16 years. There were six boys and one girl. Five hernias were left-sided, one was right-sided and one was a retrosternal hernia. All patients had normal intestinal rotation. Non-specific gastrointestinal or respiratory symptoms and signs were usually presented. Intestinal malrotations were absent; therefore, only organs adjacent to the defect or relatively movable organs such as the small bowel and transverse colon were herniated. Two cases were accompanied by stomach herniation with the volvulus and liver, respectively. The duration from presentation to diagnosis varied from 5 days to 1 year. Diagnoses were made by chest X-ray, upper gastrointestinal series and chest computed tomography. All patients underwent primary repair with interrupted non-absorbable sutures by a transabdominal approach. None had postoperative complications. The follow-up period in six patients ranged from 4 months to 20 years (median 3.8 years). There was no recurrence in any of the patients on follow-up.ConclusionA high index of suspicion is important for the diagnosis of late-presenting CDH because it can be a life-threatening condition such as CDH with a gastric volvulus. Early diagnosis and appropriate treatment can lead to a good prognosis.

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Delayed presentation of congenital diaphragmatic hernia manifesting as combined-type acute gastric volvulus: a case report and review of the literature

Cited by 43 publications

References 20 publications

Atypical presentation of congenital diaphragmatic hernia

Atypical presentation of congenital diaphragmatic hernia

Bockdalek Hernia With Gastric Volvulus With Ischemia in An Adult: A Case Report

Late-Presenting Congenital Diaphragmatic Hernia in Children: The Experience of Single Institution in Korea

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