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Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver

INTRODUCTION: Congenital diaphragmatic hernia (CDH) presenting after 30 days of life is unusual and has a variant pattern of presentation. PRESENTATION OF CASE: We present a death case occurred to a 34-days-old infant. The infant arrived to our emergency department in cardiac arrest after having suf...

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Autores principales: De Marco, E.A., Merli, L., Taddei, A., Pulitanò, S.M., Manzoni, C., Nanni, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701755/
https://www.ncbi.nlm.nih.gov/pubmed/26519813
http://dx.doi.org/10.1016/j.ijscr.2015.10.009
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author De Marco, E.A.
Merli, L.
Taddei, A.
Pulitanò, S.M.
Manzoni, C.
Nanni, L.
author_facet De Marco, E.A.
Merli, L.
Taddei, A.
Pulitanò, S.M.
Manzoni, C.
Nanni, L.
author_sort De Marco, E.A.
collection PubMed
description INTRODUCTION: Congenital diaphragmatic hernia (CDH) presenting after 30 days of life is unusual and has a variant pattern of presentation. PRESENTATION OF CASE: We present a death case occurred to a 34-days-old infant. The infant arrived to our emergency department in cardiac arrest after having suffered from intermittent acute abdominal pain. Autopsy confirmed the presence of a right CDH, with herniation of the right lobe of the liver into the thorax. DISCUSSION: Most of the cases of CDH are diagnosed prenatally or in the neonatal period. However, some patients do not develop symptoms until after the neonatal period. The relevance of our case is the co-existence of right CDH and important hypotrophy of the right lobe of the liver. CONCLUSIONS: Evidence of this phenomenon represents an absolute novelty in the extant scientific literature. Even if rare, we suggest to suspect the presence of CDH in fetus with disparity in right and left liver lobe at prenatal ultrasound.
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spelling pubmed-47017552016-02-03 Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver De Marco, E.A. Merli, L. Taddei, A. Pulitanò, S.M. Manzoni, C. Nanni, L. Int J Surg Case Rep Case Report INTRODUCTION: Congenital diaphragmatic hernia (CDH) presenting after 30 days of life is unusual and has a variant pattern of presentation. PRESENTATION OF CASE: We present a death case occurred to a 34-days-old infant. The infant arrived to our emergency department in cardiac arrest after having suffered from intermittent acute abdominal pain. Autopsy confirmed the presence of a right CDH, with herniation of the right lobe of the liver into the thorax. DISCUSSION: Most of the cases of CDH are diagnosed prenatally or in the neonatal period. However, some patients do not develop symptoms until after the neonatal period. The relevance of our case is the co-existence of right CDH and important hypotrophy of the right lobe of the liver. CONCLUSIONS: Evidence of this phenomenon represents an absolute novelty in the extant scientific literature. Even if rare, we suggest to suspect the presence of CDH in fetus with disparity in right and left liver lobe at prenatal ultrasound. Elsevier 2015-10-23 /pmc/articles/PMC4701755/ /pubmed/26519813 http://dx.doi.org/10.1016/j.ijscr.2015.10.009 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
De Marco, E.A.
Merli, L.
Taddei, A.
Pulitanò, S.M.
Manzoni, C.
Nanni, L.
Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver
title Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver
title_full Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver
title_fullStr Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver
title_full_unstemmed Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver
title_short Late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver
title_sort late-presenting right congenital diaphragmatic hernia with severe hypotrophy of the right lobe of the liver
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4701755/
https://www.ncbi.nlm.nih.gov/pubmed/26519813
http://dx.doi.org/10.1016/j.ijscr.2015.10.009
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