IP Journal of Surgery and Allied Sciences
Official Publication of Khyati Education and Research Foundation
Official Publication of Khyati Education and Research Foundation
Online ISSN: 2582-6387
IP Journal of Surgery and Allied Sciences (JSAS) open access, peer-reviewed quarterly journal publishing since 2019 and is published under the Khyati Education and Research Foundation (KERF), is registered as a non-profit society (under the society registration act, 1860), Government of India with the vision of various accredited vocational courses in healthcare, education, paramedical, yoga, publication, teaching and research activity, with the aim of faster and better dissemination of knowledge, we will be publishing the article ‘Ahead more...Case Report
Author Details :
Volume : 6, Issue : 2, Year : 2024
Article Page : 69-71
https://doi.org/10.18231/j.jsas.2024.015
Abstract
Background: Congenital Diaphragmatic Hernia (CDH) is commonly diagnosed in antenatal scans or presents in the neonatal age group. Presentation of CDH in infants or older children with respiratory symptoms is less common. Similarly, the presentation of CDH with primarily gastrointestinal symptoms is also quite rare and poses a diagnostic and therapeutic challenge. An atypical case of CDH with later presentation with gastrointestinal symptoms is described. A failure to diagnose and correct it in a timely fashion could have a deleterious impact on the outcome.
Case Presentation: A case of a five-month-old child presenting with features of bowel obstruction is described. On evaluation, the child had rapidly progressive respiratory distress and gross abdominal distension, which was found to be due to left-sided CDH. A closed-loop obstruction with impending strangulation was managed with prompt surgery. The patient had a favorable outcome.
Conclusions: Late presenting CDH may present with primarily gastrointestinal symptoms with impending respiratory compromise. A high index of suspicion is necessary to ensure early diagnosis and management.
Keywords: Congenital Diaphragmatic hernia, Bowel obstruction, Infant, Gastrointestinal
How to cite : Mahajan D, Midha H, Congenital diaphragmatic hernia presenting as bowel obstruction in an infant: A case report. IP J Surg Allied Sci 2024;6(2):69-71
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