Late presenting Congenital Diaphragmatic Hernia Mimicking Complicated Pneumonia with? an Air Leak - A Case Report
Alshammari, S., Alzahrani, S., Alanezi, T., Alanfeesah, R., Alshammari, M., Al-Shamrani, A. (2021). Late presenting Congenital Diaphragmatic Hernia Mimicking Complicated Pneumonia with? an Air Leak - A Case Report. EKB Journal Management System, 83(1), 1312-1315. doi: 10.21608/ejhm.2021.165516
Satam GH Alshammari; Saeed Rashid Alzahrani; Tariq Jamal Alanezi; Razan Ebrahim Alanfeesah; Manar Jassem Alshammari; Abdullah Al-Shamrani. "Late presenting Congenital Diaphragmatic Hernia Mimicking Complicated Pneumonia with? an Air Leak - A Case Report". EKB Journal Management System, 83, 1, 2021, 1312-1315. doi: 10.21608/ejhm.2021.165516
Alshammari, S., Alzahrani, S., Alanezi, T., Alanfeesah, R., Alshammari, M., Al-Shamrani, A. (2021). 'Late presenting Congenital Diaphragmatic Hernia Mimicking Complicated Pneumonia with? an Air Leak - A Case Report', EKB Journal Management System, 83(1), pp. 1312-1315. doi: 10.21608/ejhm.2021.165516
Alshammari, S., Alzahrani, S., Alanezi, T., Alanfeesah, R., Alshammari, M., Al-Shamrani, A. Late presenting Congenital Diaphragmatic Hernia Mimicking Complicated Pneumonia with? an Air Leak - A Case Report. EKB Journal Management System, 2021; 83(1): 1312-1315. doi: 10.21608/ejhm.2021.165516

Late presenting Congenital Diaphragmatic Hernia Mimicking Complicated Pneumonia with? an Air Leak - A Case Report

The Egyptian Journal of Hospital Medicine
Article 78, Volume 83, Issue 1, April 2021, Page 1312-1315  XML PDF (415.44 K)
DOI: 10.21608/ejhm.2021.165516
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Authors
Satam GH Alshammari email 1; Saeed Rashid Alzahrani1; Tariq Jamal Alanezi2; Razan Ebrahim Alanfeesah3; Manar Jassem Alshammari3; Abdullah Al-Shamrani4
1Pediatric Pulmonologist, Alyammamh Hospital, Pediatric Department Riyadh, Saudi Arabia.
2Pediatric Intensivist, Pediatric Department, Alyammamh Hospital, Riyadh, Saudi Arabia.
3Pediatric Department, Pediatric Department, Alyammamh Hospital, Riyadh, Saudi Arabia
4Pediatric Pulmonologist and Sleep Physician, Prince Sultan Medical Military City (PSMMC), Riyadh, Saudi Arabia
Abstract
 
 
Background: Congenital diaphragmatic hernia (CDH) is an anatomical defect of the diaphragm, which allows protrusion of abdominal viscera into the chest, causing serious pulmonary and cardiac complications in the neonate.
Objective: In this case report we aimed to present a rare case of late presentation of congenital diaphragmatic hernia.
Patient and method: We reported a late diagnosis of CDH at age of 3 months, who was referred to our center as a persistent left sided chest infection that needs necessarily intervention.
Result: At this late-presenting patient, which could be due to small defect in the diaphragm and could be missed antenatally or even in early postnatal period, it is expected to get worse when bowel distended, or patient stressed. Management of this condition was explored in detail, survival and prognostic factors were addressed.
Conclusion: CDHs are still a diagnostic challenge. Some are still missing in our community, and we need to improve medical services starting from antenatal visit. CDH should be kept in mind as a potential differential diagnosis in early infancy period for any patient presented with respiratory distress.
 
Keywords
CDH; Pneumonia; Post neonatal; Postnatal; Respiratory distress
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