Abstract

LATE PRESENTATION OF CONGENITAL DIAPHRAGMATIC HERNIA WITH A HERNIATED STOMACH AND WANDERING SPLEEN IN A 14 YEARS OLD GIRL IN BDF HOSPITAL IN 2021 – CASE REPORT

Nedham F.* and Alshafie A.

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Abstract

The incidence of congenital diaphragmatic hernia (CDH) is about 4.8/10,000 live births. Its typical clinical presentation is respiratory distress occurring immediately after birth or in the first few hours or days of a child's life. It is characterized by a high mortality rate. despite increased prenatal detection, transfer to tertiary institutions for delivery, and advances in neonatal care.[1,2] Presenting symptoms of late-onset CDH can be respiratory or gastrointestinal, but presentation with gastrointestinal problems was more common in left-sided hernias, whereas respiratory symptoms predominated in right-sided lesions. The prognosis is excellent once the correct diagnosis is made[3] Wandering spleen have been described in both adults and children in association with congenital diaphragmatic hernia. [ 4-5] The lack of development or incomplete formation of intraperitoneal suspensory ligaments, congenital or secondary to diaphragmatic defect, is a recognized common cause of these conditions.[6-8] The excessive mobility and abnormal position of both stomach and spleen predispose to torsion of these organs that may result in ischemia and necrosis.[9-11] Here we are presenting a case of a 14 years odl girl presented with severe epigastric pain and vomiting and ended having left side diaphrgamtic hernia with gastric herniation (Without volvulous) in addition to wandering spleen.

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