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Unrecognised diaphragmatic hernia in a refugee child: an incidental diagnosis

Dimitri Poddighe1, Tiziana Boggini2, Salvatore Savasta3

  • 1Department of Pediatrics, ASST Melegnano e Martesana, Vizzolo Predabissi, Italy.

BMJ Case Reports
|June 15, 2017
PubMed

Insights

A young refugee boy with Down

Area of Science:

  • Pediatric Emergency Medicine
  • Cardiology
  • Radiology

Background:

  • A 4-year-old Syrian refugee presented with an upper airway viral illness.
  • The child had Down's syndrome and a history of thoracic and abdominal trauma from bombardments.

Observation:

  • Physical examination revealed a significant reduction in the intensity of all heart sounds.
  • No other pathological signs were noted during the initial assessment.

Findings:

  • A diaphragmatic hernia was suspected due to the clinical presentation and patient history.
  • A chest X-ray confirmed the presence of a diaphragmatic hernia.

Implications:

  • Highlights the importance of thorough clinical evaluation in refugee children.
  • Underscores the potential for missed or delayed diagnoses of surgical disorders in vulnerable populations.
  • Emphasizes the need for considering trauma-related complications in children exposed to conflict.

Keywords:
emergency medicinepaediatric surgerypaediatrics

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