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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