Rare late-presentation congenital diaphragmatic hernia mimicking a tension pneumothorax

Congenital Diaphragmatic Hernia (CDH) is due to a defect in the diaphragm and is usually detected soon after birth. However, in rare cases, asymptomatic CDHs can be missed and present later in life. Late-presentation CDH can be misdiagnosed as tension pneumothorax leading to iatrogenic complications...

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Bibliographic Details
Published in:Radiology case reports 2021-09, Vol.16 (9), p.2542-2545
Main Authors: Muien, Muhammad Zahid Abdul, Jeyaprahasam, Kohila, Krisnan, Thiagu, Ng, Chiak Yot, Teh, Yong Guang
Format: Article
Language:English
Subjects:
Case Report
Chest radiograph
Congenital diaphragmatic hernia
Pneumothorax
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Summary:Congenital Diaphragmatic Hernia (CDH) is due to a defect in the diaphragm and is usually detected soon after birth. However, in rare cases, asymptomatic CDHs can be missed and present later in life. Late-presentation CDH can be misdiagnosed as tension pneumothorax leading to iatrogenic complications. We report a case of a 10-year-old boy who presented with non-specific symptoms of vomiting and occasional breathlessness, but was subsequently diagnosed as late-presentation CDH. This case highlights the role of imaging in the diagnosis and management of late-presenting CDH. The role of CT imaging as an invaluable tool to further evaluate equivocal radiographic findings in CDH is discussed.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2021.06.024