BMJ Case Rep
. 2025 Jul 5;18(7):e266266.
doi: 10.1136/bcr-2025-266266. https://pubmed.ncbi.nlm.nih.gov/40617600/
Late-presenting congenital diaphragmatic hernia: a rare and challenging diagnosis
Mariana Sebastião 1, Mariana Gouveia Lopes 2, Inês Pessanha 3, Joana Aquino 2
Affiliations Expand
- PMID: 40617600
- DOI: 10.1136/bcr-2025-266266
Abstract
We describe two uncommon cases of hiatal hernias in children, including the rare simultaneous presence of a hiatal hernia and a Morgagni hernia.Case 1-An early childhood girl presented to the emergency department with dyspnoea. A chest X-ray suggested a significant diaphragmatic hernia, further characterised by CT, which revealed a complex diaphragmatic defect involving both a hiatal hernia and a Morgagni hernia. The child underwent successful surgical correction with a good outcome.Case 2-A girl in her early childhood presented to the emergency department with a 2-week history of intermittent fever. Imaging studies, including a chest X-ray and CT scan, revealed a large sliding gastric hernia through the oesophageal hiatus. The child underwent surgery, resulting in a favourable outcome.In both cases, the diagnosis was incidental, underscoring the importance of early recognition and a high index of suspicion to ensure optimal outcomes.
Keywords: Gastrointestinal surgery; Infant health; Paediatric Surgery.
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