Skip to main content
PMC home page
Archives of Disease in Childhood logoLink to Archives of Disease in Childhood
. 1989 Nov;64(11):1542–1544. doi: 10.1136/adc.64.11.1542

Congenital diaphragmatic defects that present late.

P S Malone 1, A J Brain 1, E M Kiely 1, L Spitz 1
PMCID: PMC1792645  PMID: 2604412

Abstract

Twenty two patients (age range: 1 month to 11 years) were treated for congenital diaphragmatic defects (excluding hiatus hernia) in the six year period 1983-8. Presenting features were failure to thrive (n = 7), abdominal pain and vomiting (n = 4), chronic respiratory symptoms (n = 3), and inability to wean from ventilatory support (n = 3). The defect was an incidental finding in five patients. Operative repair was performed with no mortality or serious postoperative morbidity. Dramatic improvement occurred in 15 of the 17 symptomatic patients. Awareness of the differential diagnosis should avoid delay in diagnosis or inappropriate treatment. Surgical correction is strongly recommended in all cases.

Full text

PDF
1543

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Berman L., Stringer D., Ein S. H., Shandling B. The late-presenting pediatric Bochdalek hernia: a 20-year review. J Pediatr Surg. 1988 Aug;23(8):735–739. doi: 10.1016/s0022-3468(88)80414-7. [DOI] [PubMed] [Google Scholar]
  2. Booker P. D., Meerstadt P. W., Bush G. H. Congenital diaphragmatic hernia in the older child. Arch Dis Child. 1981 Apr;56(4):253–257. doi: 10.1136/adc.56.4.253. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. CARTER R. E., WATERSTON D. J., ABERDEEN E. Hernia and eventration of the diaphragm in childhood. Lancet. 1962 Mar 31;1(7231):656–659. doi: 10.1016/s0140-6736(62)92877-5. [DOI] [PubMed] [Google Scholar]
  4. Chilton H. W., Chang J. H., Jones M. D., Jr, Brooks J. G. Right-sided congenital diaphragmatic herniae presenting as pleural effusions in the newborn: dangers and pitfalls. Arch Dis Child. 1978 Jul;53(7):600–603. doi: 10.1136/adc.53.7.600. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Graviss E. R., Danis R. K., Lewis J. E., Beach P. J., Silberstein M. J., Brodeur A. E. Peritoneography--diagnosis of delayed-onset right-sided diaphragmatic hernias masquerading as pleural effusion. J Pediatr. 1980 Jul;97(1):119–122. doi: 10.1016/s0022-3476(80)80150-8. [DOI] [PubMed] [Google Scholar]
  6. McCarten K. M., Rosenberg H. K., Borden S., 4th, Mandell G. A. Delayed appearance of right diaphragmatic hernia associated with group B streptococcal infection in newborns. Radiology. 1981 May;139(2):385–389. doi: 10.1148/radiology.139.2.7012924. [DOI] [PubMed] [Google Scholar]
  7. SNYDER W. H., Jr, GREANEY E. M., Jr CONGENITAL DIAPHRAGMATIC HERNIA; 77 CONSECUTIVE CASES. Surgery. 1965 Apr;57:576–588. [PubMed] [Google Scholar]
  8. Wiseman N. E., MacPherson R. I. "Acquired" congenital diaphragmatic hernia. J Pediatr Surg. 1977 Oct;12(5):657–665. doi: 10.1016/0022-3468(77)90389-x. [DOI] [PubMed] [Google Scholar]
  9. Woolley M. M. Delayed appearance of a left posterolateral diaphragmatic hernia resulting in significant small bowel necrosis. J Pediatr Surg. 1977 Oct;12(5):673–674. doi: 10.1016/0022-3468(77)90391-8. [DOI] [PubMed] [Google Scholar]
  10. Young L. W., McClead R. E., Graham M., Barry C. B., Fletcher B. D. Radiological case of the month. Postnatal appearance of diaphragmatic hernia. Am J Dis Child. 1978 Nov;132(11):1137–1138. doi: 10.1001/archpedi.1978.02120360093018. [DOI] [PubMed] [Google Scholar]

Articles from Archives of Disease in Childhood are provided here courtesy of BMJ Publishing Group

RESOURCES