Congenital diaphragmatic hernia; delayed presentation

ABSTRACT

We report a case of late-presenting congenital diaphragmatic hernia [CDH] in a three-month-old male infant presenting to the pediatric hospital with attacks of cough and cyanosis. Although CDH is usually manifested on the first day of life, there are a number of case reports of late-presenting CDH usually presenting with respiratory or gastrointestinal symptoms. In this case report, we have focused on the anesthetic management of late-presenting CDH. Congenital diaphragmatic hernia is usually manifested on the first days of life as respiratory distress and a scaphoid abdomen. The abnormality is herniation of the abdominal viscera through a defect in the diaphragm, most commonly the foramen of Bochdalek on the left side. These infants often have a dramatic presentation, in contrast, late onset or late- presenting CDHs present outside the neonatal period with variable signs and symptoms. We describe a case of late-presenting CDH that referred to the pediatric hospital with attacks of cough and cyanosis