Left Congenital Diaphragmatic Hernia - Case Report

Congenital diaphragmatic hernia (CDH) occurs when theabdominal contents protrude into the thoracic cavity throughan anatomical defect in the diaphragm. The incidence of CDHis 1 in 2500 births, with left congenital diaphragmatic hernias(LCDH) being more common than right-side hernias (85% to12%). While many cases are discovered prenatally or during theimmediate postnatal period, 5 to 25% of CDH can be latepresenting events which are detected by routine examinations,during medical check-ups, because of respiratory or gastrointestinalproblems or complications such as gastric volvulus,occlusion, perforation, peritonitis or necrosis. Trans-abdominalor trans-thoracic approach is mandatory in those cases wherecomplications have been identified. The prognosis for latepresenting patients with LCDH is usually favorable. We reportthe case of a 7-year-old girl with recent history of trauma,who was admitted to a local hospital with respiratorydistress. In our clinic, LCDH was diagnosed and closure ofthe defect was performed through an open trans-abdominalapproach with favorable outcome.

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