Delayed discovery of congenital diaphragmatic hernia: diagnostic difficulties. A report of two cases

Delayed discovery of congenital diaphragmatic hernia: diagnostic difficulties. A report of two cases

Delayed revelation of congenital diaphragmatic hernias (CDH) is not uncommon and can represent 5-30% of total CDHs. Time before diagnosis may be prolonged, sometimes to the adult period. Respiratory and gastrointestinal symptoms are frequent but not specific. The clinical presentation of delayed CDH...

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Veröffentlicht in:Archives de pédiatrie : organe officiel de la Société française de pédiatrie 2004-08, Vol.11 (8), p.929-931
Hauptverfasser: Coste, C, Jouvencel, P, Debuch, C, Argote, C, Lavrand, F, Feghali, H, Brissaud, O
Format: Artikel
Sprache:fre
Schlagworte:
Abdominal Pain - etiology
Bronchiolitis - etiology
Cyanosis - etiology
Diagnosis, Differential
Diagnostic Errors
Fever - etiology
Hernia, Diaphragmatic - diagnosis
Hernia, Diaphragmatic - epidemiology
Hernia, Diaphragmatic - surgery
Hernias, Diaphragmatic, Congenital
Humans
Infant
Male
Radiography, Thoracic
Respiratory Insufficiency - etiology
Time Factors
Treatment Outcome
Vomiting - etiology
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Zusammenfassung:Delayed revelation of congenital diaphragmatic hernias (CDH) is not uncommon and can represent 5-30% of total CDHs. Time before diagnosis may be prolonged, sometimes to the adult period. Respiratory and gastrointestinal symptoms are frequent but not specific. The clinical presentation of delayed CDH may thus mislead the practitioner. Diagnosis can be approached and/or confirmed by plain radiography. Outcome is usually favorable after surgery. We report two cases of delayed CDH and we discuss the difficulty of diagnosis.
ISSN:0929-693X