Pediatric Emergency Care and Medicine: Open Access

Late Presentation of Congenital Diaphragmatic Hernia in a 3 Month-Old Infant

A 3-month-old female infant presented with vomiting for 1-month, poor feeding and lethargy for few days with history of fever at home. On examination was noted to be lethargic, hypoxic, tachypnoeic with recessions and poor air entry and cold extremities. She was resuscitated with oxygen and fluids and was being treated for suspected sepsis. A chest X-ray (CXR) showed bowel loops in the left hemi thorax confirming the diagnosis of congenital diaphragmatic hernia (CDH). The infant was subsequently transferred to a tertiary centre where the defect was surgically corrected. This case report highlights the difficulty in suspecting and diagnosing late presenting CDH after the neonatal period.

Author(s):

Gowai H, Kanagasabapathy S

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