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Case Reports
Late-presenting congenital diaphragmatic hernia in pediatric emergency room: two case reports.
- Chang-Teng Wu, Jing-Long Huang, Shao-Hsuan Hsia, Jainn-Jin Lin, and Shen-Hao Lai.
- Division of Pediatric Critical and Emergency Care, Chang Gung Children's Hospital, Taoyuan, Taiwan, Republic of China. wct0722@yahoo.com.tw
- Eur. J. Pediatr. 2009 Aug 1;168(8):1013-5.
AbstractA congenital diaphragmatic hernia is a serious, complex condition with high mortality. It is actually mostly diagnosed prenatally. In most cases, it presents in the neonatal period, but can rarely present later in life when it becomes symptomatic. The clinical presentation and prognosis depend on the time of visceral herniation. We report two cases of left Bochdalek hernia with delayed presentation. The two cases shared some important characteristics. In both patients, the asymptomatic period ended with an acute attack of disease. To initiate appropriate therapy, emergency doctors need to be aware of the various presentations of a delayed left-sided diaphragmatic hernia.
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