Late presentation of Bochdalek-type congenital diaphragmatic hernia in children: A 23-year experience at a single center

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dc.contributor.authorCigdem, Murat Kemal
dc.contributor.authorOnen, Abdurrahman
dc.contributor.authorOtcu, Selcuk
dc.contributor.authorOkur, Hanifi
dc.date.accessioned2024-04-24T16:01:56Z
dc.date.available2024-04-24T16:01:56Z
dc.date.issued2007
dc.departmentDicle Üniversitesien_US
dc.description.abstractPurpose. The purpose of this article is to report on our 23-year experience of treating children with late-presenting congenital diaphragmatic hernia (CDH), focusing on diagnostic difficulties, associated anomalies, and morbidity. Method. We reviewed 19 children in whom Bochdalek-type CDH was diagnosed after the neonatal period, between 1983 and 2005. Results. There were 14 boys and 5 girls, with a mean age of 18.3 months (range, 5 weeks-14 years). Ten (52.6%) of the patients presented with respiratory symptoms and five (26.3%) with gastrointestinal symptoms. The diagnosis of CDH was based on the findings of chest X-rays, gastrointestinal tract contrast radiographs, and computerized tomography findings. The CDH was on the left side in 16 patients and on the right side in three patients. A hernia sac was present in seven (36.8%) patients. The only postoperative complications were intestinal obstruction caused by adhesions, incisional hernia, and eventration of the diaphragm in one patient each. None of the patients died within this study period. Conclusion. The possibility of a delayed presentation of CDH should be considered in the differential diagnosis of recurrent non-specific respiratory or gastrointestinal tract symptoms in a child. A plain roentgenogram with a swallowed nasogastric tube might assist in the diagnosis. Early surgical correction of the diaphragmatic defect is crucial for preventing life-threatening complications.en_US
dc.identifier.doi10.1007/s00595-006-3482-4
dc.identifier.endpage645en_US
dc.identifier.issn0941-1291
dc.identifier.issue8en_US
dc.identifier.pmid17643205
dc.identifier.scopus2-s2.0-34547097749
dc.identifier.scopusqualityQ1
dc.identifier.startpage642en_US
dc.identifier.urihttps://doi.org/10.1007/s00595-006-3482-4
dc.identifier.urihttps://hdl.handle.net/11468/14512
dc.identifier.volume37en_US
dc.identifier.wosWOS:000248229500003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofSurgery Today
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCongenital Diaphragmatic Herniaen_US
dc.subjectDelayed Presentationen_US
dc.subjectBochdalek Herniaen_US
dc.subjectChildrenen_US
dc.titleLate presentation of Bochdalek-type congenital diaphragmatic hernia in children: A 23-year experience at a single centeren_US
dc.titleLate presentation of Bochdalek-type congenital diaphragmatic hernia in children: A 23-year experience at a single center
dc.typeArticleen_US

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