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Late-presenting congenital diaphragmatic hernia.
Raashid Hamid1, Aejaz A Baba, Altaf H Shera
1Department of Paediatric and Neonatal Surgery, SKIMS, Srinagar, Jammu and Kashmir, India.
African Journal of Paediatric Surgery : AJPS
|May 21, 2014
Summary
Late-presenting congenital diaphragmatic hernia (CDH) can show varied symptoms and be misdiagnosed. Prompt surgical repair in these cases leads to favorable outcomes, avoiding potential mortality.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Neonatal Surgery
Background:
- Congenital diaphragmatic hernia (CDH) is a serious birth defect.
- Late-presenting CDH cases often exhibit diverse clinical presentations.
- Misdiagnosis and delayed treatment can lead to severe complications.
Purpose of the Study:
- To analyze the clinical profile of late-presenting congenital diaphragmatic hernia (CDH).
- To investigate misdiagnosis patterns in CDH.
- To evaluate surgical treatment and prognosis for CDH in a tertiary care setting.
Main Methods:
- Retrospective study of patients over 1 month old with CDH.
- Inclusion criteria: CDH patients admitted between January 2008 and December 2013.
- Data analysis included clinical presentation, surgical records, and follow-up outcomes.
Main Results:
- 20 patients with late-presenting CDH were analyzed (age range: 45 days to 17 years).
- Clinical presentations varied, including respiratory distress and gastrointestinal issues.
- Two cases were initially misdiagnosed as pneumothorax; all 20 patients underwent successful surgical repair with no mortality.
Conclusions:
- Late-presenting CDH requires careful diagnosis due to varied symptoms.
- Timely identification and surgical intervention are crucial for favorable outcomes.
- Expeditious management of CDH significantly reduces morbidity and mortality risks.
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