title: Late presenting Bochdalek hernia with gastric perforation.
abstract: Late-onset congenital diaphragmatic hernias that give symptoms beyond the neonatal period are rare and are difficult to diagnose. The diagnosis is usually made in case of complications such as intestinal obstruction, strangulation, and perforation, which further necessitate immediate surgical repair. The case of a 5-year-old child presenting with acute respiratory distress with gastric strangulation and perforation secondary to Bochdalek hernia is reported here. Although presentation in the latter ages is less common, congenital diaphragmatic hernia should be included in the differential diagnosis of respiratory distress in children. Symptoms and diagnostic tools should truly be interpreted. Gastrointestinal complications must urgently be recognized, and early surgical intervention must be performed.
authors.affiliation: From the *Department of Pediatric Surgery, Duzce University; †Department of Pediatric Surgery, Duzce Atatürk Government Hospital; ‡Department of Radiology, Duzce Atatürk Government Hospital; §Department of Pediatrics, Duzce University, Duzce, Turkey.
authors.forename: Aybars
authors.initials: A
authors.lastname: Ozkan
authors.forename: Asudan Tugce
authors.initials: AT
authors.lastname: Bozkurter Cil
authors.forename: Murat
authors.initials: M
authors.lastname: Kaya
authors.forename: Inci
authors.initials: I
authors.lastname: Etcioglu
authors.forename: Mesut
authors.initials: M
authors.lastname: Okur
mesh_terms: D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D007813:Laparotomy / Q000379:methods*; D010439:Peptic Ulcer Perforation / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013270:Stomach / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed