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A Case Report of a Diaphragmatic Defect Developing Into a Late-Presenting Congenital Diaphragmatic Hernia With Severe

Yuichi Noda1, Yusuke Kusaka2, Osamu Umegaki2

  • 1Anesthesiology, Osaka Medical and Pharmaceutical University, Takatsuki, JPN.

Cureus
|August 8, 2024
PubMed

Insights

Late-presenting congenital diaphragmatic hernia (CDH) is rare in adults, with this 62-year-old experiencing intestinal obstruction and respiratory failure. Prompt diagnosis and surgical intervention are crucial for managing this rare condition.

Area of Science:

  • Medicine
  • Surgery
  • Pediatrics

Background:

  • Congenital diaphragmatic hernia (CDH) is a rare congenital malformation typically diagnosed in neonates.
  • Adult presentation of CDH is exceptionally uncommon, posing diagnostic challenges.

Observation:

  • A 62-year-old patient developed intestinal obstruction and respiratory failure post-surgery for external auditory canal carcinoma.
  • Unexplained diaphragmatic elevation was observed perioperatively.

Findings:

  • The patient was diagnosed with a late-presenting congenital diaphragmatic hernia (CDH).
  • Surgical treatment was required for the diagnosed CDH.

Implications:

  • Anesthesiologists and critical care physicians must consider CDH in cases of unexplained diaphragmatic elevation.
  • Awareness of CDH is vital for perioperative management in adult patients with unexplained diaphragmatic abnormalities.

Keywords:
case reportcongenital diaphragmatic herniadiaphragm reconstructiondiaphragmatic relaxationexternal auditory canal carcinoma

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