Document Detail


Late-presenting congenital diaphragmatic hernia in childhood.
MedLine Citation:
PMID:  20874742     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To characterize the clinical manifestations of late-presenting diaphragmatic hernia and its associated anomalies, diagnostic methods and outcomes.
METHODS: The records of patients aged 1 month-18 years old diagnosed with Bochdalek diaphragmatic hernia from February 1987-June 2008 were reviewed.
RESULTS:   Fifteen children (nine boys, six girls) met inclusion criteria. Median age was 1.5 years (range, 38 days-9.9 years). Eleven (73%) had left-sided and four (27%) had right-sided diaphragmatic hernias. Six (40%) patients presented with respiratory symptoms, six (40%) with gastrointestinal symptoms and three (20%) with both. Five (33%) patients had failure to thrive. Six (40%) were diagnosed by chest radiography alone. The others required gastrointestinal contrast series, or chest computed tomography to confirm the diagnosis. One referred patient had been misdiagnosed as having left pneumothorax. Cases of bowel malrotation and gastric volvulus associated with the hernia were found in one patient each. One patient required mechanical ventilation because of respiratory failure before surgery. Primary repair without patch was performed in all patients. The overall survival in this series was 100%.
CONCLUSION: Late-presenting diaphragmatic hernia should be suspected in cases of unexplained acute or chronic respiratory or gastrointestinal symptoms, and abnormal chest radiographic findings. The prognosis is favourable with correct diagnosis and prompt surgical repair.
Authors:
Pei-Hsin Chao; Jiin-Haur Chuang; Shin-Yi Lee; Hsin-Chun Huang
Publication Detail:
Type:  Journal Article     Date:  2010-10-08
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  100     ISSN:  1651-2227     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-01     Completed Date:  2011-06-16     Revised Date:  2011-12-06    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  425-8     Citation Subset:  IM    
Copyright Information:
© 2010 The Author(s)/Acta Paediatrica © 2010 Foundation Acta Paediatrica.
Affiliation:
Department of Pediatrics, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Chang Gung University College of Medicine, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Diagnosis, Differential
Female
Gastrointestinal Diseases / etiology
Hernia, Diaphragmatic* / complications,  congenital,  diagnosis,  surgery
Humans
Infant
Male
Prognosis
Respiration Disorders / etiology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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