Home > Journals > Minerva Pediatrics > Past Issues > Minerva Pediatrica 2003 June;55(3) > Minerva Pediatrica 2003 June;55(3):283-8

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe PROMO
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions
Share

 

CASE REPORT   

Minerva Pediatrica 2003 June;55(3):283-8

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: English, Italian

Delayed presentation of congenital diaphragmatic Bochdalek hernia. Case report.

Carlucci A., Bianchi A., Pace F., De Cesaris V., Cupaioli M., Lelli Chiesa P.


PDF


The authors describe the case of a 1-month-old patient admitted for crisis of paleness, accompanied by hyporeactivity, tachycardia and polypnea; the symptoms, attenuated after detension of the abdomen, grew worse, with compromise of general conditions and respiratory failure. Chest X-ray shows the herniation of intestinal loops in the thoracic cavity. After the first emergency care, it became necessary to submit the baby to HFO and cardiovascular drugs for some hours before getting oxygenation index (OI) and circulation stabilization. Late presenting congenital diaphragmatic hernia (LCDH) is a condition that can occur during first or second infancy with respiratory or abdominal symptoms, quickly worsening or intermittent. The prognosis is good if diagnosis is timely. Patient stabilization before surgical intervention must be valued not only by O.I. but also by circulation conditions.

top of page