Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016:2016:7284914.
doi: 10.1155/2016/7284914. Epub 2016 Oct 30.

Congenital Diaphragmatic Hernia with Delayed Presentation

Alireza Malekzadegan  1 , Alireza Sargazi  2
Affiliations

Congenital Diaphragmatic Hernia with Delayed Presentation

Alireza Malekzadegan et al. Case Rep Surg. 2016.

Abstract

Congenital diaphragmatic hernia (CDH) is caused due to abnormal formation of the muscular parts of diaphragm. The incidence of CDH in common births ranges from 1/25000 to 1/30000. Pulmonary hypoplasia and pulmonary hypertension are factors that associate with the increase of mortality and morbidity due to CDH. We presented a 68-year-old Iranian woman with abdominal pain and tenderness in right upper quadrant who was diagnosed as having CDH. The disease was detected using chest X-ray and chest and abdomen sonography and confirmed with chest and abdomen CT scan with and without oral contrast. A defect was revealed in posterolateral right diaphragm with omentum and transverse colon herniated through it. Right posterolateral thoracotomy was performed to cure the disease. CT and CXR were the two useful methods in diagnosis of CDH in this patient, although CDH detection prior to surgery is too challenging because of rare cases and different types of CDH. In order to improve clinical cares in adult CDH patients, investigating more cases and long term follow-up are recommended.

PubMed Disclaimer

Figures

Figure 1
Figure 1
X-ray chest showing right diaphragmatic hernia.
Figure 2
Figure 2
Sonography chest.
Figure 3
Figure 3
Contrast-enhanced CT scan showed right diaphragmatic hernia.
Figure 4
Figure 4
Contrast-enhanced CT scan showed right diaphragmatic hernia.
Figure 5
Figure 5
X-ray chest after surgery (thoracotomy).
See this image and copyright information in PMC

References

    1. Akinkuotu A. C., Cruz S. M., Cass D. L., et al. Revisiting outcomes of right congenital diaphragmatic hernia. Journal of Surgical Research. 2015;198(2):413–417. doi: 10.1016/j.jss.2015.03.090. - DOI - PubMed
    1. Olenik D., Codrich D., Gobbo F., et al. Hepatopulmonary fusion in a newborn. An uncommon intraoperatory finding during right congenital diaphragmatic hernia surgery: case description and review of literature. Hernia. 2014;18(3):417–421. doi: 10.1007/s10029-012-1042-y. - DOI - PubMed
    1. van Loenhout R. B., Tibboel D., Post M., Keijzer R. Congenital diaphragmatic hernia: comparison of animal models and relevance to the human situation. Neonatology. 2009;96(3):137–149. doi: 10.1159/000209850. - DOI - PubMed
    1. Kotecha S., Barbato A., Bush A., et al. Congenital diaphragmatic hernia. European Respiratory Journal. 2012;39(4):820–829. doi: 10.1183/09031936.00066511. - DOI - PubMed
    1. Chang S.-W., Lee H.-C., Yeung C.-Y., et al. A twenty-year review of early and late-presenting congenital Bochdalek diaphragmatic hernia: are they different clinical spectra? Pediatrics & Neonatology. 2010;51(1):26–30. doi: 10.1016/S1875-9572(10)60006-X. - DOI - PubMed

LinkOut - more resources