Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management
Delayed presentation of congenital diaphragmatic hernia (CDH) with acute respiratory distress beyond the newborn period may poise challenges in diagnosis and management. We report a 3-month-old infant who presented with acute-onset respiratory distress and left congenital diaphragmatic hernia that w...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2020/6109487 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832560304217653248 |
|---|---|
| author | Kam Lun Hon Ronald C. M. Fung Alexander K. C. Leung |
| author_facet | Kam Lun Hon Ronald C. M. Fung Alexander K. C. Leung |
| author_sort | Kam Lun Hon |
| collection | DOAJ |
| description | Delayed presentation of congenital diaphragmatic hernia (CDH) with acute respiratory distress beyond the newborn period may poise challenges in diagnosis and management. We report a 3-month-old infant who presented with acute-onset respiratory distress and left congenital diaphragmatic hernia that was relieved with thoracoscopic repair. CDH must be differentiated from pneumothorax or pulmonary cyst. Erroneous diagnosis and treatment with thoracocentesis could be disastrous. Pediatricians and surgeons must be aware of this condition to allow early diagnosis and expeditious management. Subcutaneous emphysema should not be misdiagnosed as pneumothorax and management is expectant. |
| format | Article |
| id | doaj-art-2e3899a4a48f4e5690c59acbc3c0947b |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-2e3899a4a48f4e5690c59acbc3c0947b2025-02-03T01:27:56ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/61094876109487Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and ManagementKam Lun Hon0Ronald C. M. Fung1Alexander K. C. Leung2Department of Pediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong and Department of Pediatrics and Adolescent Medicine, The Hong Kong Children’s Hospital, Hong KongDepartment of Pediatrics and Adolescent Medicine, The Hong Kong Children’s Hospital, Hong KongDepartment of Pediatrics, The University of Calgary, The Alberta Children’s Hospital, Calgary, Alberta, CanadaDelayed presentation of congenital diaphragmatic hernia (CDH) with acute respiratory distress beyond the newborn period may poise challenges in diagnosis and management. We report a 3-month-old infant who presented with acute-onset respiratory distress and left congenital diaphragmatic hernia that was relieved with thoracoscopic repair. CDH must be differentiated from pneumothorax or pulmonary cyst. Erroneous diagnosis and treatment with thoracocentesis could be disastrous. Pediatricians and surgeons must be aware of this condition to allow early diagnosis and expeditious management. Subcutaneous emphysema should not be misdiagnosed as pneumothorax and management is expectant.http://dx.doi.org/10.1155/2020/6109487 |
| spellingShingle | Kam Lun Hon Ronald C. M. Fung Alexander K. C. Leung Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management Case Reports in Pediatrics |
| title | Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management |
| title_full | Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management |
| title_fullStr | Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management |
| title_full_unstemmed | Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management |
| title_short | Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management |
| title_sort | delayed presentation of congenital diaphragmatic hernia with acute respiratory distress challenges in diagnosis and management |
| url | http://dx.doi.org/10.1155/2020/6109487 |
| work_keys_str_mv | AT kamlunhon delayedpresentationofcongenitaldiaphragmaticherniawithacuterespiratorydistresschallengesindiagnosisandmanagement AT ronaldcmfung delayedpresentationofcongenitaldiaphragmaticherniawithacuterespiratorydistresschallengesindiagnosisandmanagement AT alexanderkcleung delayedpresentationofcongenitaldiaphragmaticherniawithacuterespiratorydistresschallengesindiagnosisandmanagement |