title: Congenital diaphragmatic hernia: unusual presentation in an adult.
abstract: Congenital abnormalities account to no more than 3% among live births. Among those, less than 0.003% involve the diaphragm. Congenital diaphragmatic hernias are mostly diagnosed early in life, later diagnosis is rare, especially if the hernia is asymptomatic. Foreign body ingestion is primarily an issue in pediatric medicine, with very rare adults ingesting foreign bodies, these adults are usually mentally impaired. We present a 26-year-old mentally intact patient, presenting to us with foreign body ingestion, that on chest radiographs and computerized tomography, prove to be residing in his intestines. The intestines are herniating into the left chest. To our knowledge, no similar case has been reported and published.
authors.affiliation: Methodist DeBakey Heart and Vascular Center, Houston, Texas 77030, United States. kareembedeir@hotmail.com
authors.forename: Kareem
authors.initials: K
authors.lastname: Bedeir
authors.forename: Wael
authors.initials: W
authors.lastname: Hassanein
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D008297:Male; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed / Q000379:methods*