title: Late presentation of congenital diaphragmatic hernia: a case report.
abstract: Delayed herniation of the abdominal contents through a congenital diaphragmatic hernia may occur beyond the neonatal period. This report describes a 9-week-old female baby who presented with excessive crying, irritability and respiratory distress secondary to late presentation of left-sided congenital diaphragmatic hernia. The chest radiograph showed tension gastrothorax. She underwent surgical reduction of the hernia. She made an excellent recovery and was discharged a few days after the operation. It is assumed that sudden increase of the intra-abdominal pressure caused herniation of abdominal content through a pre-existing diaphragmatic defect. This report aims to increase the awareness of this condition among physicians and pediatric surgeons to allow early diagnosis and management.
authors.affiliation: Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al Ghafri
authors.affiliation: Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Ibtisam
authors.initials: I
authors.lastname: Al Sidairi
authors.affiliation: Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Madhavan
authors.initials: M
authors.lastname: Nayar
keywords: Chest radiograph; Gastrothorax; Late presentation of diaphragmatic hernia; Respiratory distress