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Published on: September 11, 2021
Late presenting Bochdalek hernia with gastric perforation
Aybars Ozkan1, Asudan Tugce Bozkurter Cil, Murat Kaya
1From the *Department of Pediatric Surgery, Duzce University; †Department of Pediatric Surgery, Duzce Atatürk Government Hospital; ‡Department of Radiology, Duzce Atatürk Government Hospital; §Department of Pediatrics, Duzce University, Duzce, Turkey.
Late-onset congenital diaphragmatic hernias are rare and challenging to diagnose, often presenting with severe gastrointestinal complications. Early recognition and surgical intervention are crucial for favorable outcomes in pediatric patients.
Area of Science:
- Pediatric Surgery
- Medical Diagnostics
- Congenital Abnormalities
Background:
- Late-onset congenital diaphragmatic hernias (CDH) are uncommon, presenting diagnostic challenges beyond the neonatal period.
- Diagnosis is frequently delayed until complications like intestinal obstruction or perforation arise, necessitating urgent surgical repair.
Observation:
- A 5-year-old child presented with acute respiratory distress due to gastric strangulation and perforation.
- The condition was secondary to a Bochdalek hernia, a type of CDH.
Findings:
- Congenital diaphragmatic hernia, though rare in older children, must be considered in the differential diagnosis of pediatric respiratory distress.
- Accurate interpretation of symptoms and diagnostic tools is vital for timely diagnosis.
Implications:
- Prompt recognition of gastrointestinal complications associated with CDH is critical.
- Early surgical intervention is essential for managing pediatric patients with symptomatic CDH and its complications.
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