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Clinical challenges and management of late presenting congenital diaphragmatic hernia mimicking tension pneumothorax in a child: a case report and review of literatures.
Int J Emerg Med
October 2024
, Addis Ababa, Ethiopia.
Article Synopsis
- Congenital diaphragmatic hernia (CDH) is a rare birth defect where abdominal organs move into the chest cavity through a diaphragmatic defect, leading to respiratory issues, commonly diagnosed in newborns but can also appear later in life.
- A case involving a 2-year-old boy from Ethiopia presented with respiratory distress, initially misdiagnosed as tension pneumothorax based on chest x-ray, but further imaging revealed CDH with abdominal organs compressing the lung.
- The case highlights the need for careful diagnosis in respiratory distress cases, as misinterpretation of imaging can lead to inappropriate treatments; accurate diagnosis through advanced imaging is vital for effective management and recovery.
Foreign Body Ingestion Ending Up in Late-Presenting Morgagni Hernia Diagnosis: A Case Report.
Cureus
July 2024
2nd Pediatric Surgery Department, Panagiotis & Aglaia Kyriakou Childrens' Hospital, Athens, GRC.
Morgagni hernia (MH), also known as a retrosternal or parasternal hernia, is a rare type of congenital diaphragmatic hernia (CDH) characterized by a defect in the anterior diaphragm. Patients with late-diagnosed MH typically present with vague gastrointestinal or respiratory symptoms. In some instances, MH is incidentally identified through chest X-rays performed for other reasons, such as foreign body ingestion, as illustrated in our presented case.
View Article and Find Full Text PDFRight Ventricular Wall Dissection After a Late-Presenting Inferior Myocardial Infarction.
JACC Case Rep
July 2024
Minneapolis Heart Institute-Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
A 40-year-old male presented with an inferior ST-segment elevation myocardial infarction. Multimodality imaging identified a ventricular septal defect and a right ventricular free wall dissection. He was bridged with a percutaneous microaxial left ventricular assist device to successful surgical repair.
View Article and Find Full Text PDFDelayed Closure of Ventricular Septal Defect with Prolonged Mechanical Support.
Eur J Case Rep Intern Med
May 2024
Internal Medicine, Shifa College of Medicine, Islamabad, Pakistan.
Introduction: Ventricular septal defect (VSD) is a severe complication following acute myocardial infarction (MI) resulting from mechanical disruption of the interventricular septum due to extensive myocardial necrosis. Despite advances in management, the mortality rate approaches 50%. We report a case of a 58-year-old male with VSD following MI who was successfully treated with a delayed surgical approach after haemodynamic support using Impella.
View Article and Find Full Text PDFBeyond the Neonate: A Delayed Presentation of Congenital Diaphragmatic Hernia in a 17-Year-Old.
Case Rep Pediatr
May 2024
UF Department of Pediatrics, 4740 NW 39th PI B, Gainesville, FL 32606, USA.
Congenital diaphragmatic hernia (CDH) is a rare anomaly resulting from incomplete closure of pleuroperitoneal canals during fetal development, often presenting with acute respiratory distress in neonates. This case report highlights a 17-year-old female with recurrent episodes of acute left upper quadrant (LUQ) pain and no history of trauma or dietary change. A computerized tomography (CT) scan taken during her second presentation to the emergency department led to a diagnosis of left-sided CDH.
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