Late-presenting congenital diaphragmatic hernia: diagnostic pitfalls and outcome

Baerg, Joanne; Kanthimathinathan, V.; Gollin, Gerald

doi:10.1007/s10029-012-0906-5

Cited by 53 publications

(50 citation statements)

References 23 publications

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“…The prognosis of late-presenting CDH is usually favorable when a prompt surgical repair is made. 11 CONCLUSIONS Late-presenting CDH should always be considered in the differential diagnosis of nonspecific respiratory and gastrointestinal symptoms in pediatric emergency department, especially when clinical examination reveals asymmetrical signs, such as decreased breath sounds in 1 hemithorax.…”

Section: Discussionmentioning

confidence: 97%

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Diaphragmatic Hernia in a Pediatric Emergency Department

Comberiati¹,

Giacomello²,

Camoglio³

et al. 2015

Pediatric Emergency Care

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Diaphragmatic hernia in pediatric emergency department poses a diagnostic challenge because of the acute or subtle timing of onset and the wide variety of clinical features. We describe 3 different late presentations of Bochdalek diaphragmatic hernia in a pediatric emergency department. These reports may help physicians avoid delayed diagnosis of late-presenting congenital diaphragmatic hernia, thereby reducing the risk of inappropriate treatments and life-threatening conditions in children.

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Section: Discussionmentioning

confidence: 97%

“…11 Imaging studies are essential in confirming the diagnosis. 8 Chest radiography is recommended as the first diagnostic study.…”

Section: Discussionmentioning

confidence: 98%

Diaphragmatic Hernia in a Pediatric Emergency Department

Comberiati¹,

Giacomello²,

Camoglio³

et al. 2015

Pediatric Emergency Care

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show abstract

“…The benefit of a minimally invasive approach is potentially reduced hospital admission time, overall faster recovery and morbidity 3 27 39 44 51. An obvious point for VATS in diaphragmatic hernia repair is the learning curve that must be overcome 45 52. An increased risk of hypercapnia and acidosis in VATS due to carbon dioxide insufflation is observed in neonates and infants 53 54.…”

Section: Discussionmentioning

confidence: 99%

Massive symptomatic right-sided Bochdalek hernia in an adult man

et al. 2016

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A 22-year-old man presented to a rural hospital in Australia with right-sided pleuritic chest pain, right shoulder pain and dyspnoea. The patient had been receiving chronic asthma therapy without improvement. CT of the chest was performed after an abnormal X-ray, incidentally revealing one of the largest documented right-sided diaphragmatic hernias, with left lung compression due to mediastinal shift. The patient was definitively managed with thoracotomy alone. The contents of the hernia sac included colon and multiple loops of small bowel with a 10 cm neck. Definitive treatment was achieved with significant reduction in hernia size and formation of a neo-diaphragm with composite mesh. The postoperative period was complicated only by a wound infection. Two weeks after discharge the patient remained clinically well. Repeat chest X-ray showed no recurrence of the hernia. Congenital diaphragmatic hernias should be considered in patients with ongoing respiratory symptoms. Thoracotomy provides a safe approach.

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“…La supervivencia de los pacientes con HDC de presentación tardía es cercana al 100%. 5,6 James y col. reportaron una paciente, con HDC bilateral, que evolucionó en forma asintomática hasta los 45 días de vida. El único antecedente de importancia al momento del diagnóstico fue el mal progreso ponderal; la evolución fue favorable.…”

Section: Discussionunclassified

Hernia diafragmática congénita bilateral de diagnóstico tardío: reporte de un caso

et al. 2016

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Presentación de casos clínicos RESUMENLa hernia diafragmática congénita (HDC) es una malformación rara, habitualmente unilateral y más frecuente del lado izquierdo. La HDC bilateral representa el 1% de todas las HDC. La mortalidad es mayor en las HDC derechas y en las bilaterales. Reportamos el caso de un paciente con HDC bilateral, cuya malformación inicialmente se diagnosticó y trató como una HDC derecha. Luego se encontró la presencia de HDC izquierda durante la cirugía de Ladd laparoscópica a los 8 meses de edad. Palabras clave: hernia diafragmática congénita bilateral, diagnóstico tardío. ABSTRACTCongenital diaphragmatic hernia (CDH) is a rare malformation, usually unilateral and left sided. Bilateral CDH (B-CDH) represents 1% of all CDH. Mortality is higher in right side and bilateral defects. We report a case of a patient with Bilateral CDH, initially diagnosed and treated as unilateral right CDH. At 8 months during a laparoscopic Ladd procedure a left side CDH was found.

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Late-presenting congenital diaphragmatic hernia: diagnostic pitfalls and outcome

Abstract: Although diagnostic delays may lead to morbidity, if late-presenting CDH are expeditiously identified and repaired, their outcome is very good, in contrast to those that present in neonates.

Cited by 53 publications

References 23 publications

Diaphragmatic Hernia in a Pediatric Emergency Department

Diaphragmatic Hernia in a Pediatric Emergency Department

Massive symptomatic right-sided Bochdalek hernia in an adult man

Hernia diafragmática congénita bilateral de diagnóstico tardío: reporte de un caso

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