Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax

Congenital Diaphragmatic Hernia (CDH) is due to a defect in the diaphragm and is usually detected soon after birth. However, in rare cases, asymptomatic CDHs can be missed and present later in life. Late-presentation CDH can be misdiagnosed as tension pneumothorax leading to iatrogenic complications...

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Main Authors: Muhammad Zahid Abdul Muien, MD, DrRad, Kohila Jeyaprahasam, MBBS, Thiagu Krisnan, MBBS, MMed, Chiak Yot Ng, MBBS, MMed(Rad), Yong Guang Teh, MD, DrRad
Format: Article
Language:English
Published: Elsevier 2021-09-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321004015
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author Muhammad Zahid Abdul Muien, MD, DrRad
Kohila Jeyaprahasam, MBBS
Thiagu Krisnan, MBBS, MMed
Chiak Yot Ng, MBBS, MMed(Rad)
Yong Guang Teh, MD, DrRad
author_facet Muhammad Zahid Abdul Muien, MD, DrRad
Kohila Jeyaprahasam, MBBS
Thiagu Krisnan, MBBS, MMed
Chiak Yot Ng, MBBS, MMed(Rad)
Yong Guang Teh, MD, DrRad
author_sort Muhammad Zahid Abdul Muien, MD, DrRad
collection DOAJ
description Congenital Diaphragmatic Hernia (CDH) is due to a defect in the diaphragm and is usually detected soon after birth. However, in rare cases, asymptomatic CDHs can be missed and present later in life. Late-presentation CDH can be misdiagnosed as tension pneumothorax leading to iatrogenic complications. We report a case of a 10-year-old boy who presented with non-specific symptoms of vomiting and occasional breathlessness, but was subsequently diagnosed as late-presentation CDH. This case highlights the role of imaging in the diagnosis and management of late-presenting CDH. The role of CT imaging as an invaluable tool to further evaluate equivocal radiographic findings in CDH is discussed.
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spelling doaj.art-30a5173da2ca48f0a6ae4fb7b8c851e82022-12-21T20:12:35ZengElsevierRadiology Case Reports1930-04332021-09-0116925422545Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothoraxMuhammad Zahid Abdul Muien, MD, DrRad0Kohila Jeyaprahasam, MBBS1Thiagu Krisnan, MBBS, MMed2Chiak Yot Ng, MBBS, MMed(Rad)3Yong Guang Teh, MD, DrRad4Faculty of Medicine & Health Sciences, Universiti Malaysia Sabah, 88400 Kota Kinabalu, Sabah, MalaysiaDepartment of Radiology, Sabah Women & Children's Hospital, 88400 Kota Kinabalu, Sabah, MalaysiaDepartment of Radiology, Sabah Women & Children's Hospital, 88400 Kota Kinabalu, Sabah, MalaysiaFaculty of Medicine & Health Sciences, Universiti Malaysia Sabah, 88400 Kota Kinabalu, Sabah, MalaysiaFaculty of Medicine & Health Sciences, Universiti Malaysia Sabah, 88400 Kota Kinabalu, Sabah, Malaysia; Department of Radiology, Sabah Women & Children's Hospital, 88400 Kota Kinabalu, Sabah, Malaysia; Corresponding author.Congenital Diaphragmatic Hernia (CDH) is due to a defect in the diaphragm and is usually detected soon after birth. However, in rare cases, asymptomatic CDHs can be missed and present later in life. Late-presentation CDH can be misdiagnosed as tension pneumothorax leading to iatrogenic complications. We report a case of a 10-year-old boy who presented with non-specific symptoms of vomiting and occasional breathlessness, but was subsequently diagnosed as late-presentation CDH. This case highlights the role of imaging in the diagnosis and management of late-presenting CDH. The role of CT imaging as an invaluable tool to further evaluate equivocal radiographic findings in CDH is discussed.http://www.sciencedirect.com/science/article/pii/S1930043321004015Congenital diaphragmatic herniaPneumothoraxChest radiographCT
spellingShingle Muhammad Zahid Abdul Muien, MD, DrRad
Kohila Jeyaprahasam, MBBS
Thiagu Krisnan, MBBS, MMed
Chiak Yot Ng, MBBS, MMed(Rad)
Yong Guang Teh, MD, DrRad
Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax
Radiology Case Reports
Congenital diaphragmatic hernia
Pneumothorax
Chest radiograph
CT
title Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax
title_full Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax
title_fullStr Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax
title_full_unstemmed Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax
title_short Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax
title_sort rare late presentation congenital diaphragmatic hernia mimicking a tension pneumothorax
topic Congenital diaphragmatic hernia
Pneumothorax
Chest radiograph
CT
url http://www.sciencedirect.com/science/article/pii/S1930043321004015
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