Hamidreza Goudarzi1, Mahsa Hemmatizadeh1, Taha Anbara2. 1. Department of Surgery, Erfan Niayesh Hospital, PC 1476919491 Tehran, Iran. 2. Department of Surgery, Erfan Niayesh Hospital, PC 1476919491 Tehran, Iran. Electronic address: drtahaanbara@dranbara.com.
Abstract
INTRODUCTION AND IMPORTANCE: Congenital diaphragmatic hernia (CDH) is caused by a defect of diaphragm. The incidence of CDH is 1/3600 in new births in the US, causing pulmonary hypoplasia and pulmonary hypertension. In rare cases, the late presentation in adulthood is reported. CASE PRESENTATION: We report a 31-year-old female with respiratory distress and gastrointestinal disease, diagnosed on X-ray chest and abdomen CT scan as CDH case, which was in left-sided diaphragm. CLINICAL DISCUSSION: Left posterolateral thoracotomy was performed for this patient. The patient with late diaphragmatic hernias presentation had a variety of symptoms, but diagnosis was very difficult. CONCLUSION: In this super rare case, the patient had a mix of bariatric surgery complications such as excessive weight loss. Additional investigation and research are necessary to better detect this type of disease.
INTRODUCTION AND IMPORTANCE: Congenital diaphragmatic hernia (CDH) is caused by a defect of diaphragm. The incidence of CDH is 1/3600 in new births in the US, causing pulmonary hypoplasia and pulmonary hypertension. In rare cases, the late presentation in adulthood is reported. CASE PRESENTATION: We report a 31-year-old female with respiratory distress and gastrointestinal disease, diagnosed on X-ray chest and abdomen CT scan as CDH case, which was in left-sided diaphragm. CLINICAL DISCUSSION: Left posterolateral thoracotomy was performed for this patient. The patient with late diaphragmatic hernias presentation had a variety of symptoms, but diagnosis was very difficult. CONCLUSION: In this super rare case, the patient had a mix of bariatric surgery complications such as excessive weight loss. Additional investigation and research are necessary to better detect this type of disease.
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