Delayed presentation of congenital diaphragmatic hernia: a case report

Ghabisha, Saif; Ahmed, Faisal; Al‐wageeh, Saleh; Al-shami, Ebrahim; Al-hajri, Abdu; Aljbri, Waleed; Mohammed, Fawaz

doi:10.11604/pamj.2021.40.242.32113

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…These hernias are classified into three types, Morgagni hernia, Bochdalek hernia, and Hiatal hernia. The delayed presentation has been observed in 2.5-20% of all patients [ 2 ]. Bochdalek hernia is an extremely rare lethal condition, causing incarceration and strangulation, accounting for 31% of the mortality rate.…”

Section: Introductionmentioning

confidence: 99%

Postoperative outcome analysis of left-sided idiopathic diaphragmatic hernia: a case report

Sasun¹,

Vardhan²,

Sonone³

2022

Pan Afr Med J

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Diaphragmatic hernia of an idiopathic cause is a rare pathology that occurs due to absence of any trauma or congenital cause. The aim of the study was to report a case of left-sided diaphragmatic hernia without traumatic aetiology. A 59-year-old male had complained of epigastric pain, vomiting, nausea, and breathing difficulties for the past 15 days. After investigations and diagnosis of the condition, the patient subsequently underwent laparotomy surgery to repair the defect. Outcome measures like FIM, NPRS, Incentive Spirometry, ICU-MS, CPaX, and HADS were used to assess the recovery of the patient. Surgical management of the condition was achieved, but to bring the patient back to his pre-pathology life without signs of breathlessness, and fatigue, a comprehensively designed physiotherapy rehabilitation is very beneficial. Our case report is the first-ever report made on physiotherapy management of diaphragmatic hernia after surgery. Tele-rehabilitation had been absolutely vital in patient follow-up.

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Section: Introductionmentioning

confidence: 99%

Postoperative outcome analysis of left-sided idiopathic diaphragmatic hernia: a case report

Sasun¹,

Vardhan²,

Sonone³

2022

Pan Afr Med J

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Death by late presenting of diaphragmatic hernia in an infant: case report and review of the literature

Abderrahim

Jedidi

Daly

et al. 2022

Egypt J Forensic Sci

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Background Congenital diaphragmatic hernia (CDH) is a congenital malformation of the diaphragm, resulting in the herniation of the abdominal organs into the thoracic cavity. If not properly diagnosed before or at birth, CDH represents a life-threatening pathology in infants and a major cause of death. We present a fatal case of congenital diaphragmatic hernia corresponding to Bochdalek hernia, discovered incidentally during a sudden death’s autopsy of an infant. To achieve a better view of the range of these anomalies, we also conducted a literature review on this subject describing the pathogenesis, manifestations, diagnosis, and autopsy contribution to addressing these CDH. Case presentation The case involved a 4-month-old female infant who presented sudden respiratory difficulties after breastfeeding. External examination found marked cyanosis with no evidence of trauma. Upon opening the chest cavity, the stomach, markedly distended, was occupying much of the left pleural cavity. The left lung was compressed and displaced superiorly, and the heart was also compressed and deviated to the right. This mediastinal deviation was due to an ascension of the stomach into the chest cavity through a 2 × 1.5 cm defect in the posterior left hemidiaphragm. Further examination remarked an ecchymotic appearance of the stomach portion entrapped in the hernia defect suggesting recent strangulation of the stomach. The lungs showed atelectasis with signs of pulmonary infection in the histology study. Conclusions CDH might be considered uncommon and not always mentioned in the list of sudden death in infant causes. Forensic pathologists should know of this malformation in order to apply the best autopsy techniques and thus allow positive feedback to pediatricians considering the possible legal implications.

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Comparison of the incidence of intrathoracic stomach in Bochdalek's hernia detected by imaging with that detected by surgery

Pan,

Feng,

Gao

et al. 2024

Preprint

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Objective:This study investigates the role of preoperative imaging in predicting cases of the intrathoracic stomach in patients with left sided Bochdalek hernia (BH) compared to their postoperative surgical diagnosis. Methods: A retrospective review was conducted of all left sided BH patients treated at the Children’s Hospital of Chongqing Medical University from Jan 2012 to Dec 2021. According to the time of clinical symptoms, all cases divided into neonatal BH and late onset BH.The number of intrathoracic stomach cases identified on imaging and during surgery were statistically analyzed separately, and the ratio of preoperative imaging to postoperative surgical diagnosis was compared.Meanwhile, the ratio was analyzed separately for neonatal BH and late-onset BH. Results: A total of 108 patients were identified with left sided BH. The imaging analysis (39/108,36.1%) diagnosed a significantly lower proportion of patients with intrathoracic stomachs as compared to the surgical data (55/108,50.93%) (p = 0.027). The difference was even more apparent in the female patients (P=0.01).For both the neonatal and late onset left sided BH groups, a third of the patients were determined as intrathoracic stomachs by preoperative imaging. Conclusion: The proportion of intrathoracic stomach (gastric positioning) in left sided BHpatients detected by preoperative imaging was low in comparison to the postoperative data.One third of late onset BHs are confirmed by preoperative imaging examination as intrathoracic stomach, and these patients are more likely to develop severe symptoms

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Delayed presentation of congenital diaphragmatic hernia: a case report

Cited by 5 publications

References 10 publications

Postoperative outcome analysis of left-sided idiopathic diaphragmatic hernia: a case report

Postoperative outcome analysis of left-sided idiopathic diaphragmatic hernia: a case report

Death by late presenting of diaphragmatic hernia in an infant: case report and review of the literature

Comparison of the incidence of intrathoracic stomach in Bochdalek's hernia detected by imaging with that detected by surgery

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