Pediatr. praxi. 2025;26(2):126-129 | DOI: 10.36290/ped.2025.024
Late presentation of right sided diaphragmatic hernia
- 1 Dětské oddělení Nemocnice s poliklinikou Česká Lípa
- 2 Neonatologická klinika Fakulty zdravotnických studií UJEP Ústí nad Labem
A case report of a premature newborn with an acute sudden shortness of breath, hypoxia and abnormal breath sounds over a right lung is presented. On a first X-ray image of a pneumonia was rather considered even though the X-ray image was not completely typical. The next day a review X-ray has showed a sign of a Congenital diaphragmatic hernia (CDH). Bochdalek hernia. CDH is a rare defect of a diaphragm with high morbidity and mortality despite the advances in medicine. There are several etiological theories mainly based on a developemental disruption of a diaphragm, but also a lung. A compression of a lung is caused by herniation of abdominal viscera through a defect in the diaphragm in to the chest cavity. An antenatal diagnosisc is possible. The condition can manifest acutely after a delivery, but can be delayed as in our case.
Keywords: diaphragmatic hernia, Bochdalek hernia, late presentation, sudden shortness of breath, premature neonates.
Accepted: May 2, 2025; Published: May 6, 2025 Show citation
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References
- Chandrasekharan PK, Rawat M, Madappa R, et al. Congenital Diaphragmatic hernia - a review. Matern Health Neonatol Perinatol. 2017;11(3):6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5356475/?fbclid=IwAR3OoWQhdyUAbVo8-IkfUv4xyCKFJgGXQQ6xszFUigjm8uL8TpbcxdnsaAo.
Go to original source... 
Go to PubMed... - Cannata G, Caporilli Ch, Grassi F, et al. Management of Congenital Diaphragmatic hernia (CDH): Role of molecular genetics. Int J Mol Sci. 2021;22(12):6353. Available from: https://pubmed.ncbi.nlm.nih.gov/28331629/. Go to original source... Go to PubMed...
- Papež J, Jabandžiev P, Pavláková T, et al. Neobvyklý případ respiračního selhání v kojeneckém věku - brániční kýla. Pediatr. praxi. 2015;16(5):344-346.
- Janota J, Straňák Z. Neonatologie. Chirurgická onemocnění novorozenců. EEZY Publishing. 2023:301-302.
- Chatterjee D, Richard J, Gien J. Update on Congenital Diaphragmatic Hernia. Anesth Analg. 2020;131(3):808-821. doi: 10.1213/ANE.0000000000004324. PMID: 31335403. Available from: https://journals.lww.com/anesthesia-analgesia/fulltext/2020/09000/update_on_congenital_diaphragmatic_hernia.23.aspx. Go to original source... Go to PubMed...
- Kosiński P, Wielgoś M. Congenital diaphragmatic hernia: pathogenesis, prenatal diagnosis and management - literature review. Gynekologia Polska. 2017;88(1):24-30. Go to original source... Go to PubMed...
- Steinhorn RH. Pediatric Congenital Diaphragmatic Hernia Workup; Pediatrics: Cardiac Disease and Critical Care Medicine. Dec 22, 2020; Available from: https://emedicine.medscape.com/article/978118-overview?form=fpf.
- Holden KI, Harting MT. Recent advances in the treatment of complex congenital diaphragmatic hernia - a narrative review. Translational Pediatrics. 2023;12(7). Available from: https://tp.amegroups.org/article/view/115367/html. Go to original source... Go to PubMed...
- Renik-Jankowska W, Buczyńska A, Sidorkiewicz I, et al. Exploring new perspectives on congenital diaphragmatic hernia: A comprehensive review. Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease. 2024;1870(4):167105. Available from: https://www.sciencedirect.com/science/article/pii/S0925443924000942?via%3Dihub#s0035. Go to original source... Go to PubMed...
- Šnajdauf J, Škába R, et al. Dětská chirurgie, Hrudní chirurgie, Brániční kýly, Pýcha K. Galén. 2005:141-149.