Late-presenting congenital diaphragmatic hernia mimicking bronchiolitis.
We report a case of a late-presenting congenital diaphragmatic hernia (CDH) in an otherwise healthy infant initially presenting to the emergency department with wheezing and respiratory distress. Late-presenting CDH can manifest a vast array of clinical symptoms and therefore may frequently masquerade as other more common pediatric entities. Prompt and accurate diagnosis is essential in the management of late-presenting CDH; patients may be critically ill at presentation, and selection of appropriate therapeutic interventions may avoid potentially life-threatening complications. In this case report, we seek to inform emergency physicians about this rare, but serious, disorder.
Blackstone
Mercedes M
MM
University of Pennsylvania School of Medicine, Division of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA. blackstone@email.chop.edu
Mistry
Rakesh D
RD
D001988:Bronchiolitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000175:diagnosis* / Q000601:surgery; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007231:Infant, Newborn; D008297:Male