title: Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver.
abstract: BACKGROUND
  Congenital diaphragmatic hernia (CDH) presenting after 30 days of life is unusual and has a variant pattern of presentation.
  
  
  METHODS
  We present a death case occurred to a 34-days-old infant. The infant arrived to our emergency department in cardiac arrest after having suffered from intermittent acute abdominal pain. Autopsy confirmed the presence of a right CDH, with herniation of the right lobe of the liver into the thorax.
  
  
  CONCLUSIONS
  Most of the cases of CDH are diagnosed prenatally or in the neonatal period. However, some patients do not develop symptoms until after the neonatal period. The relevance of our case is the co-existence of right CDH and important hypotrophy of the right lobe of the liver.
  
  
  CONCLUSIONS
  Evidence of this phenomenon represents an absolute novelty in the extant scientific literature. Even if rare, we suggest to suspect the presence of CDH in fetus with disparity in right and left liver lobe at prenatal ultrasound.
authors.affiliation: Pediatric Surgery Unit, Catholic University of Sacred Heart Medical School, Largo Francesco Vito 1, 00168 Rome, Italy. Electronic address: erika_demarco@libero.it.
authors.forename: E A
authors.initials: EA
authors.lastname: De Marco
authors.affiliation: Pediatric Surgery Unit, Catholic University of Sacred Heart Medical School, Largo Francesco Vito 1, 00168 Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Merli
authors.affiliation: Pediatric Surgery Unit, Catholic University of Sacred Heart Medical School, Largo Francesco Vito 1, 00168 Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Taddei
authors.affiliation: Pediatric Intensive Care Unit, Catholic University of Sacred Heart Medical School, Largo Francesco Vito 1, 00168 Rome, Italy.
authors.forename: S M
authors.initials: SM
authors.lastname: Pulitanò
authors.affiliation: Pediatric Surgery Unit, Catholic University of Sacred Heart Medical School, Largo Francesco Vito 1, 00168 Rome, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Manzoni
authors.affiliation: Pediatric Surgery Unit, Catholic University of Sacred Heart Medical School, Largo Francesco Vito 1, 00168 Rome, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Nanni
keywords: Congenital diaphragmatic hernia; Hypotrophy right liver lobe; Late-presenting congenital diaphragmatic hernia