Delayed presentation of congenital diaphragmatic eventration in a 12-year -old girl:a rare case report

Abstract

Introduction
-
A diaphragmatic hernia is a protrusion of the
abdominal viscera through the diaphragm with or without a hernial
sac.
Its estimated incidence has been reported to be 1 in 2000 to 5000
live births. Late presentation of congenital diaphragmatic hernia is
uncommon, accounting for 5
-
30% of all cases.
Case presentation
-
A
twelve
-
year
-
old
female child presented with
chief compl
aints of non
-
specific, intermittent, vague abdominal
pain with no other complaints. CECT of abdomen was suggestive of
left sided congenital diaphragmatic hernia.
Intraoperatively, there was evidence
of:
-
1
-
Eventration of left hemidiaphragm
2
-
Evidence o
f stomach, spleen, splenic flexure and transverse colon
in left hemithorax.
3
-
Hypoplasia of left lung.
Posterior half of diaphragm was approximated with posterior
peritoneum with polydiaxonone sutures and strengthening done.
Discussion
-
This type of herni
a usually presents later in life with
respiratory or gastrointestinal problems that may be mistaken for
acquired disease. Beyond infancy, diaphragmatic hernia is an
unusual finding. There are different causes other than congenital
diaphragmatic hernia like
trauma, phrenic nerve palsy and
longstanding acquired hiatus hernia.