The late-presenting pediatric bochdalek hernia: A 20-year review

Berman, Lawrence S.; Stringer, David A.; Ein, Sigmund H.; Shandling, Barry

doi:10.1016/s0022-3468(88)80414-7

Cited by 136 publications

(120 citation statements)

References 19 publications

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“…1,4,-6 Presentation primarily with respiratory symptoms in the younger patients and gastrointestinal symptoms in the older ones. 1,5,7 Younger age of patients with right CDH as compared with those with left-sided defects. 5,9 We could not confirm any of these features in our study.…”

Section: Discussionmentioning

confidence: 99%

“…2,3 The outcome is generally favorable, but misdiagnosis can result in significant morbidity and mortality. Information about late-presenting CDH is derived from many case reports or small series except a recent collective review by Baglaj et al 1,[3][4][5][6][7][8][9] . The largest series in the literature is a report of 26 cases by Berman et al, followed by 2 series of 22 cases.…”

Section: Introductionmentioning

confidence: 99%

“…The largest series in the literature is a report of 26 cases by Berman et al, followed by 2 series of 22 cases. 3,7,8 In this study, we report a review of the demographics, presenting symptoms, and outcomes of late-presenting CDH in a tertiary care centre.…”

Section: Introductionmentioning

confidence: 99%

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Unusual presentations of late onset diaphragmatic hernia: a six year study

Aggarwal

2017

Int Surg J

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Background: Late-presenting congenital diaphragmatic hernia (CDH) is a rare subset of CDH, most of the information is derived from small series or case reports. The aim of this study is to document the varied presentations of late-presenting CDH in a tertiary hospital.Methods: Information about late-presenting CDH (diagnosed at later than 30 days of age) was identified from the data collected by a 5 year reterospective study and 1 year prospective study.Results: Twenty five cases were studied over a period of 6 years with 5 years of reterospective study and 1 year of prospective study. Three cases had a morgagni hernia (2 right-sided, 1 central, 2 males and 1 female). There were 16 males (64%) and 9 females (36%). Major associated anomalies were identified in 6 cases (24%). Cardiac anomalies included ventricular septal defect (n = 4), atrial septal defect (n = 2), gastroesophageal reflux was found in 3 cases, 1 of which required surgery. Presenting symptoms were respiratory in 8 (32%), gastrointestinal in 13 (52%), both in 4 (16%). The hernia was left-sided in 17 (68%), right-sided in 5 (20%), and central 3 (12%). Patients with gastrointestinal symptoms invariably had left-sided hernias (n = 10), whereas patients with respiratory symptoms (n = 8) seemed equally likely to have right- or left-sided lesions. A primary repair without patch was done in all cases with 100% survival.Conclusions: Presenting symptoms of late-onset CDH can be respiratory or gastrointestinal, but presentation with gastrointestinal problems was more common in left-sided hernias, whereas respiratory symptoms were seen with equal preponderance in left and right-sided lesions. The prognosis is excellent once the correct diagnosis is made.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unusual presentations of late onset diaphragmatic hernia: a six year study

Aggarwal

2017

Int Surg J

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“…Failure to consider the diagnosis early can lead to worsening morbidity for complications, including intestinal obstruction, intestinal perforation, and respiratory distress, which are not uncommon and have been described in several case reports. [2][3][4] Our patient presented with acute respiratory distress and was treated for heart failure. In retrospect, the auscultatory findings of coarse crackles on the left lung field may have been bowel sounds.…”

Section: Discussionmentioning

confidence: 99%

Diaphragmatic hernia: an unexpected cause of pseudopleural effusion

Goh

2014

CJEM

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“…O diagnóstico diferencial da HDC de apresentação tardia com outras afecções pleuropulmonares que causam desconforto respiratório pode ser feito com a realização de um RX de tórax após sondagem nasogástrica. Berman et al relatam que o estômago é a víscera mais comumente herniada (68% dos casos) e, na vigência de insuficiência respiratória aguda, geralmente, é a única víscera herniada (80% dos casos) 1 . A confirmação da posição gástrica dentro da cavidade pleural pode ser obtida pela injeção de contraste baritado pela sonda nasogástrica.…”

Section: Discussionunclassified

Late-presenting congenital diaphragmatic hernia: a possible cause of sudden respiratory distress in children

Aita

Zanolla²,

Barcelos³

et al. 1999

J Pediatr (Rio J)

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ResumoObjetivos: Enfatizar que os defeitos congênitos do diafragma devem ser considerados no diagnóstico diferencial da dificuldade respiratória de instalação súbita em crianças.Métodos: Dois casos ilustrativos de crianças (com 2 anos de idade) com hernia diafragmática congênita de apresentação tardia que desenvolveram dificuldade respiratória aguda e foram tratados no Hospital Universitário de Santa Maria são relatados. A literatura médica foi revisada para identificar relatos de casos e outros artigos relacionados a hérnia diafragmática congênita de apresentação tardia. Uma pesquisa computadorizada foi realizada com o uso do banco de dados do MEDLINE para identificar as publicações editadas nos últimos 25 anos.Resultados: Em ambos os casos, a avaliação clínica inicial e as radiografias simples de tórax foram interpretadas erroneamente como outras doenças pleuropulmonares, tais como pneumotórax e/ ou pneumatocele. Uma das crianças foi submetida a drenagem de tórax emergencial sem melhora clínica. A ausência de sintomatologia respiratória prévia que justificasse esse tipo de patologia motivou uma investigação mais cuidadosa, com fibroendoscopia e seriografia gastrintestinal. Essa investigação subsequente mostrou que a causa era hérnia diafragmática congênita de apresentação tardia.Conclusão: Ainda que muitas hérnias diafragmáticas que se manifestam tardiamente tenham sintomas respiratórios crônicos, algumas se apresentam agudamente. Uma maior atenção é necessá-ria a fim de evitar confusão com outras patologias intratorácicas como pneumatocele e pneumotórax, para que um diagnóstico incorreto possa ser evitado. Uma interpretação errônea das radiografias é provável se a possibilidade de hérnia diafragmática não for considerada, o que poderia resultar em aumento da morbidade. A atonia gástrica pode ocorrer no período pós-operatório imediato.J. pediatr. (Rio J.). 1999; 75(2): 135-138: hérnia diafragmáti-ca, criança, insuficiência respiratória. AbstractObjective: To emphasize that congenital defects of the diaphragm should be considered in the differential diagnosis of sudden onset of respiratory distress in children.Method: Two illustrative cases of children (aged 2 years) with late presenting congenital diaphragmatic hernia who developed sudden respiratory distress and were managed at the University Hospital of Santa Maria are reported. The medical literature was reviewed to identify cases reports and other articles related to late presenting congenital diaphragmatic hernia. A computerized search was performed using the MEDLINE data base to identify papers published within the last 25 years.Results: In both cases the initial clinical examination and plain chest X-rays were misinterpreted as another pleuropulmonary disease like pneumothorax/pneumatoceles. One of the children underwent to emergency chest tube placement without clinical improvement. The absence of respiratory symptoms that could justify this kind of pathology motivated a more careful investigation, involving fiberoptical endoscopy and intestinal seriog...

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The late-presenting pediatric bochdalek hernia: A 20-year review

Cited by 136 publications

References 19 publications

Unusual presentations of late onset diaphragmatic hernia: a six year study

Unusual presentations of late onset diaphragmatic hernia: a six year study

Diaphragmatic hernia: an unexpected cause of pseudopleural effusion

Late-presenting congenital diaphragmatic hernia: a possible cause of sudden respiratory distress in children

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