title: Hypersplenism Associated With Late-Presenting Congenital Diaphragmatic Hernia: A Rare Combination. Case Report.
abstract: Congenital diaphragmatic hernia (CDH) is a rare developmental anomaly of the diaphragm that mainly presents mainly in newborns. Even less common is late-onset CDH associated with hypersplenism. We report a 10-year-old male who presented with coughing, blood-stained sputum, and fever. He was diagnosed with CDH complicating hypersplenism after computed tomography was done. The patient was treated by CDH repair and splenectomy, and remained asymptomatic at 6-month follow-up. Computed tomography can be an important diagnostic option in this rare combination of CDH and hypersplenism, and surgical intervention is strongly recommended.
authors.affiliation: From the Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai, China.
authors.forename: Xue-Xin
authors.initials: XX
authors.lastname: Lu
authors.forename: Zhen
authors.initials: Z
authors.lastname: Shen
authors.forename: Kui-Ran
authors.initials: KR
authors.lastname: Dong
authors.forename: Shan
authors.initials: S
authors.lastname: Zheng
mesh_terms: D002648:Child; D065630:Hernias, Diaphragmatic, Congenital / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods; D006801:Humans; D006971:Hypersplenism / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D013156:Splenectomy / Q000379:methods; D014057:Tomography, X-Ray Computed