Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case report
Introduction: Congenital diaphragmatic hernia (CDH) usually presents with respiratory distress at birth, which can be severe enough to cause cardiorespiratory failure. Late presentation of CDH is less common. CDH can be associated with malrotation, which is typically asymptomatic. Case presentation:...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-08-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576623000982 |
| _version_ | 1797801032311373824 |
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| author | Reem Antabi Qamar Bodkje Ayman AlKhamisy Mohamad Morjan |
| author_facet | Reem Antabi Qamar Bodkje Ayman AlKhamisy Mohamad Morjan |
| author_sort | Reem Antabi |
| collection | DOAJ |
| description | Introduction: Congenital diaphragmatic hernia (CDH) usually presents with respiratory distress at birth, which can be severe enough to cause cardiorespiratory failure. Late presentation of CDH is less common. CDH can be associated with malrotation, which is typically asymptomatic. Case presentation: We describe a case of a 7-year-old child who had non-specific gastrointestinal symptoms and no respiratory symptoms. The patient had been suffering from non-bilious vomiting for a week, had abdominal pain and was dehydrated and malnourished. Breath sounds were diminished and bowel sounds were present in the left hemithorax. A diagnosis of CDH was suggested on a chest x-ray and confirmed by a barium study. On exploration, a small-sized left CDH associated with malrotation and Ladd's bands were discovered. The diaphragmatic defect was closed primarily, and the malrotation corrected with a Ladd's procedure. The post-operative course was uneventful. Conclusion: Patients with non-specific gastrointestinal symptoms and a suspicious chest X-ray should undergo further imaging studies to rule out a CDH. Failure to do so can potentially lead to complications such as bowel obstruction and volvulus. Respiratory symptoms are uncommon in late-presenting CDH. |
| first_indexed | 2024-03-13T04:44:14Z |
| format | Article |
| id | doaj.art-3a715ca03a754fcfb5e9d3567d5e283a |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-03-13T04:44:14Z |
| publishDate | 2023-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-3a715ca03a754fcfb5e9d3567d5e283a2023-06-19T04:28:00ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662023-08-0195102672Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case reportReem Antabi0Qamar Bodkje1Ayman AlKhamisy2Mohamad Morjan3Corresponding author. Medical Intern, Faculty of Medicine, University of Aleppo, Aleppo, Syria.; Medical Intern, Faculty of Medicine, Aleppo University, Aleppo, SyriaMedical Intern, Faculty of Medicine, Aleppo University, Aleppo, SyriaPediatric Surgery Section, Faculty of Medicine, Aleppo University, Aleppo, SyriaCorresponding author.; Pediatric Surgery Section, Faculty of Medicine, Aleppo University, Aleppo, SyriaIntroduction: Congenital diaphragmatic hernia (CDH) usually presents with respiratory distress at birth, which can be severe enough to cause cardiorespiratory failure. Late presentation of CDH is less common. CDH can be associated with malrotation, which is typically asymptomatic. Case presentation: We describe a case of a 7-year-old child who had non-specific gastrointestinal symptoms and no respiratory symptoms. The patient had been suffering from non-bilious vomiting for a week, had abdominal pain and was dehydrated and malnourished. Breath sounds were diminished and bowel sounds were present in the left hemithorax. A diagnosis of CDH was suggested on a chest x-ray and confirmed by a barium study. On exploration, a small-sized left CDH associated with malrotation and Ladd's bands were discovered. The diaphragmatic defect was closed primarily, and the malrotation corrected with a Ladd's procedure. The post-operative course was uneventful. Conclusion: Patients with non-specific gastrointestinal symptoms and a suspicious chest X-ray should undergo further imaging studies to rule out a CDH. Failure to do so can potentially lead to complications such as bowel obstruction and volvulus. Respiratory symptoms are uncommon in late-presenting CDH.http://www.sciencedirect.com/science/article/pii/S2213576623000982Congenital diaphragmatic herniaIntestinal malrotationLadd's bandCase report |
| spellingShingle | Reem Antabi Qamar Bodkje Ayman AlKhamisy Mohamad Morjan Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case report Journal of Pediatric Surgery Case Reports Congenital diaphragmatic hernia Intestinal malrotation Ladd's band Case report |
| title | Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case report |
| title_full | Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case report |
| title_fullStr | Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case report |
| title_full_unstemmed | Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case report |
| title_short | Late presentation of Bochdalek congenital diaphragmatic hernia associated with malrotation in a 7-year-old child: A case report |
| title_sort | late presentation of bochdalek congenital diaphragmatic hernia associated with malrotation in a 7 year old child a case report |
| topic | Congenital diaphragmatic hernia Intestinal malrotation Ladd's band Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2213576623000982 |
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