Delayed Presentation of Congenital Diaphragmatic Hernia with Acute Respiratory Distress: Challenges in Diagnosis and Management

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...

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Main Authors: Kam Lun Hon, Ronald C. M. Fung, Alexander K. C. Leung
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2020/6109487
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spelling doaj-2e3899a4a48f4e5690c59acbc3c0947b2020-11-25T02:59:18ZengHindawi LimitedCase 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
collection DOAJ
language English
format Article
sources DOAJ
author Kam Lun Hon
Ronald C. M. Fung
Alexander K. C. Leung
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
author_facet Kam Lun Hon
Ronald C. M. Fung
Alexander K. C. Leung
author_sort Kam Lun Hon
title 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_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_sort delayed presentation of congenital diaphragmatic hernia with acute respiratory distress: challenges in diagnosis and management
publisher Hindawi Limited
series Case Reports in Pediatrics
issn 2090-6803
2090-6811
publishDate 2020-01-01
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.
url http://dx.doi.org/10.1155/2020/6109487
work_keys_str_mv AT kamlunhon delayedpresentationofcongenitaldiaphragmaticherniawithacuterespiratorydistresschallengesindiagnosisandmanagement
AT ronaldcmfung delayedpresentationofcongenitaldiaphragmaticherniawithacuterespiratorydistresschallengesindiagnosisandmanagement
AT alexanderkcleung delayedpresentationofcongenitaldiaphragmaticherniawithacuterespiratorydistresschallengesindiagnosisandmanagement
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