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Vol. 20 - Num. 79

Clinical Reviews

Late-presenting congenital diaphragmatic hernia: a case report

Paula García Sáncheza, José Antonio Ruiz Domíngueza

aServicio de Urgencias. Hospital Universitario Infantil La Paz. Madrid. España.

Correspondence: P García. E-mail:

Reference of this article: García Sánchez P, Ruiz Domínguez JA. Late-presenting congenital diaphragmatic hernia: a case report. Rev Pediatr Aten Primaria. 2018;20:e75-e77.

Published in Internet: 11-09-2018 - Visits: 7700


Congenital diaphragmatic hernia is a simple defect of the diaphragm that allows abdominal organs to herniate into the chest. It presents most frequently in the newborn period, with high mortality, although late-presenting cases represent between 5% and 45% of all cases. The presenting symptoms, diagnosis, and management of late-presenting congenital diaphragmatic hernia differ considerably from those of neonatal congenital diaphragmatic hernia and it poses a diagnostic challenge for pediatricians. Misdiagnosis can result in significant morbidity. We describe the case of a 6-month-old boy presented to the emergencies with 2 days of worsening respiratory distress. Chest radiograph and thoraco-abdominal ultrasonography identified a congenital diaphragmatic hernia. The patient was admitted for thoracoscopic left congenital diaphragmatic hernia repair with a satisfactory evolution.


Hernias, diaphragmatic, congenital Late onset disorders Respiratory Insufficiency



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