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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

[Congenital diaphragmatic hernia manifesting after the neonatal period]

P Drahovský1, J Dankovcík, A Bodnárová

  • 1II. chirurgická klinika FN, LF UJPS Kosice, Slovenská republika.

Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
|August 31, 1999
PubMed

Insights

Congenital diaphragmatic hernia can manifest later in childhood, often presenting as respiratory or gastrointestinal issues. Early diagnosis through targeted examination is crucial for effective surgical intervention and positive outcomes.

Area of Science:

  • Pediatric Surgery
  • Congenital Malformations
  • Diaphragmatic Hernia

Context:

  • A 16-year study of 46 children with congenital diaphragmatic malformations.
  • 12 children (26%) presented symptoms after the neonatal period.
  • Common late symptoms included recurrent respiratory infections and gastrointestinal complaints.

Purpose:

  • To analyze the presentation and management of congenital diaphragmatic hernias with late manifestation.
  • To highlight the diagnostic challenges associated with delayed symptom onset.
  • To emphasize the importance of thorough evaluation for chronic pediatric complaints.

Summary:

  • Eight left-sided Bochdalek hernias, three hiatus hernias, and one Morgagni hernia were surgically corrected electively.
  • No early or late complications were observed post-operatively.
  • Late-presenting congenital diaphragmatic hernias pose a significant diagnostic challenge.

Impact:

  • Recommends targeted examinations for children with chronic respiratory or gastrointestinal issues.
  • Underscores the importance of considering congenital diaphragmatic hernia in differential diagnoses.
  • Contributes to improved diagnostic strategies for pediatric surgical conditions.

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