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A 6-week-old boy with apnea and abdominal distention. Late-presenting congenital diaphragmatic hernia
Lauri Blanch1, Kristi Williams, Matthew Sigley
1The Children's Mercy Hospital, 2401 Gillham Road, 5 West, Kansas City, MO 64109, USA. lblanch@gmail.com
Pediatric Annals
|May 30, 2009
Insights
Late-presenting congenital diaphragmatic hernia (CDH) causes diverse symptoms, often with normal initial imaging. Clinicians should consider late CDH in respiratory and GI symptom diagnoses.
Area of Science:
- Pediatric Surgery
- Medical Diagnostics
Background:
- Congenital diaphragmatic hernia (CDH) is a birth defect affecting diaphragm development.
- Late-presenting CDH occurs when symptoms manifest after the neonatal period.
Observation:
- Patients with late-presenting CDH may exhibit varied clinical presentations.
- Initial radiographic evaluations can be normal or misleading in these cases.
Findings:
- The diagnostic challenge lies in recognizing CDH when it appears later in life.
- A high index of suspicion is crucial for accurate diagnosis.
Implications:
- Considering late CDH in differential diagnoses improves patient outcomes.
- Early recognition facilitates timely intervention and management of respiratory and gastrointestinal issues.
Abstract:
Late-presenting CDH can present with a variety of symptoms. Radiographic evaluation may initially be normal or interpreted. It is important for clinicians to consider late-presenting CDH in the differential diagnosis of patients with respiratory and gastrointestinal symptoms.
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