Delayed presentation of congenital diaphragmatic hernia with splenic and caecal herniation

Vinayak Y. Kshirsagar, Chennadi Amithkumar, Suhel Nagarsenkar, Minhajuddin Ahmed


The vast majority of posterolateral congenital diaphragmatic hernia (CDH) diagnosed on prenatal ultrasound screening after 24 weeks of gestation present with respiratory distress at birth. It has been observed that late presenting CDH has better outcome and is not associated with pulmonary hypoplasia. We report a case of posterolateral CDH with herniated spleen presented first in a four year old male child with chest infection. This case report highlights the fact that posterolateral CDH which presents late is not associated with pulmonary hypoplasia, but may cause respiratory symptoms


Delayed presentation; Congenital diaphragmatic hernia

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