NDLI: Late presentation of congenital diaphragmatic Hernia after a diagnostic laparoscopic surgery (a case report)

Content Provider	Springer Nature : BioMed Central
Author	Yap, Kok Hooi Jones, Mark
Abstract	The authors report a rare case of 17-year-old lady with late presentation of congenital diaphragmatic hernia. She presented with vague abdominal pain and was thought to have urinary tract infection, ruptured ovarian cyst, and appendicitis by different medical teams in the first few days. She eventually underwent a diagnostic laparoscopy with no significant findings. In the early postoperative recovery period, she suffered from severe cardiorespiratory distress and a large intestinal left diaphragmatic hernia was diagnosed subsequently. At further operation a strangulated loop of large bowel herniating through a left antero-lateral congenital diaphragmatic hernia was discovered, which was reduced and repaired with a prolene mesh through thoracotomy. She made an excellent recovery and was discharged a few days after the operation. The authors postulate a mechanism of positive pressure from laparoscopic surgery causing herniation of large bowel through a pre-existing diaphragmatic defect. This case highlights the diagnostic challenge of this disease due to its diverse clinical presentation, the importance of prompt diagnosis and intervention.
Related Links	https://cardiothoracicsurgery.biomedcentral.com/counter/pdf/10.1186/1749-8090-8-8.pdf
Ending Page	3
Page Count	3
Starting Page	1
File Format	HTM / HTML
ISSN	17498090
DOI	10.1186/1749-8090-8-8
Journal	Journal of Cardiothoracic Surgery
Issue Number	1
Volume Number	8
Language	English
Publisher	BioMed Central
Publisher Date	2013-01-14
Access Restriction	Open
Subject Keyword	Cardiac Surgery Thoracic Surgery Congenital diaphragmatic hernia Delayed presentation Diagnosis Laparoscopic surgery Prolene mesh Hernia repair
Content Type	Text
Resource Type	Case study
Subject	Surgery Cardiology and Cardiovascular Medicine Pulmonary and Respiratory Medicine
Journal Impact Factor	1.5/2023
5-Year Journal Impact Factor	1.6/2023

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