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Diaphragmatic hernia in Down's syndrome
1Department of Paediatrics, King Saud University, Abha, Saudi Arabia.
Annals of Tropical Paediatrics
|March 1, 1989
Insights
Anterior diaphragmatic hernias were identified in three Saudi children with Down syndrome, necessitating surgical repair. This finding highlights the importance of screening for diaphragmatic hernias in children with Down syndrome experiencing respiratory issues.
Area of Science:
- Pediatric Surgery
- Clinical Genetics
- Congenital Abnormalities
Background:
- Down syndrome is associated with various congenital anomalies.
- Congenital heart disease and recurrent chest infections are common in Down syndrome.
- Respiratory distress and chest deformities can occur in affected children.
Observation:
- Three children in Saudi Arabia diagnosed with Down syndrome presented with anterior diaphragmatic hernias.
- All three cases required surgical intervention to correct the diaphragmatic defect.
Findings:
- Anterior diaphragmatic hernias are a significant, though perhaps under-recognized, condition in children with Down syndrome.
- The presence of a diaphragmatic hernia can contribute to respiratory distress and chest deformities.
Implications:
- Clinicians should consider diaphragmatic hernias in the differential diagnosis for respiratory distress in children with Down syndrome.
- Early detection and surgical correction of diaphragmatic hernias are crucial for improving outcomes in this population.
- Further research into the prevalence and management of diaphragmatic hernias in Down syndrome is warranted.
Abstract:
Three Saudi children with Down's syndrome were found to have anterior diaphragmatic hernias. They all needed surgical correction. In Down's syndrome, besides congenital heart disease and recurrent chest infection, a diaphragmatic hernia should be looked for as a possible cause of respiratory distress and chest deformity.