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...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2021-09-01
|
Series: | Radiology Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043321004015 |
_version_ | 1818890474339958784 |
---|---|
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. |
first_indexed | 2024-12-19T17:25:29Z |
format | Article |
id | doaj.art-30a5173da2ca48f0a6ae4fb7b8c851e8 |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-12-19T17:25:29Z |
publishDate | 2021-09-01 |
publisher | Elsevier |
record_format | Article |
series | Radiology Case Reports |
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 |
work_keys_str_mv | AT muhammadzahidabdulmuienmddrrad rarelatepresentationcongenitaldiaphragmaticherniamimickingatensionpneumothorax AT kohilajeyaprahasammbbs rarelatepresentationcongenitaldiaphragmaticherniamimickingatensionpneumothorax AT thiagukrisnanmbbsmmed rarelatepresentationcongenitaldiaphragmaticherniamimickingatensionpneumothorax AT chiakyotngmbbsmmedrad rarelatepresentationcongenitaldiaphragmaticherniamimickingatensionpneumothorax AT yongguangtehmddrrad rarelatepresentationcongenitaldiaphragmaticherniamimickingatensionpneumothorax |