[Late revealing of congenital diaphragmatic hernia: diagnostic difficulties].
Two patients, aged four and six months, with congenital diaphragmatic hernias, and who presented outside of the neonatal period, are reported. Clinical presentation was a progressive respiratory failure, and radiographic findings showed a consolidation of the left lung, associated with a pneumothorax in one and an ascites in the other. One had previous normal chest X-rays. All cases with herniated bowel showed connecting bowel segments passing through the diaphragmatic defect. All were repaired via an abdominal approach. Delay in presentation of congenital diaphragmatic hernias is not uncommon. Long-term prognosis is favourable and postoperative morbidity is minimal, despite late presentation and undesirable time delay between first sign and surgery.
Brouard
J
J
Service de pédiatrie A, centre hospitalier et universitaire de Caen, France.
Leroux
P
P
Jokic
M
M
Maguer
D
D
Chevet
J B
JB
Ravasse
P
P
D000367:Age Factors; D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D008297:Male; D013902:Radiography, Thoracic