Open AccessDelayed presentation of congenital diaphragmatic hernia masquerading as pulmonary tuberculosis in a 4-year-old girl
Author(s) -
Abdullahi Salisu Shaaibu,
Aliyu Mohammed El-Habeeb,
Idris Mohammed Mustapha,
Abdulsalam Usman Danjaji
Publication year - 2019
Publication title -
pyramid journal of medicine
Language(s) - English
Resource type - Journals
ISSN - 2612-2332
DOI - 10.4081/pjm.2019.26
Subject(s) - medicine , presentation (obstetrics) , differential diagnosis , congenital diaphragmatic hernia , diaphragmatic breathing , diaphragmatic hernia , girl , diaphragm (acoustics) , surgery , chronic cough , complication , case presentation , pediatrics , tuberculosis , hernia , general surgery , fetus , pregnancy , pathology , psychology , developmental psychology , physics , alternative medicine , biology , asthma , acoustics , loudspeaker , genetics
Diaphragmatic hernias are defined as congenital or acquired defect in the diaphragm. It is said to be the most common intra-thoracic fetal anomaly with an incidence of 1 in 2200 to 3000 live births and male to female ratio of 2:1.The unusual and misleading presentation of this condition which would cause an unnecessary delay in diagnosis and all the attendant consequences (such as intestinal obstruction) is hereby presented. The role of plain chest Xray which is cheap and readily available in salvaging the confusing clinical scenario has been emphasized. Late presenting CDH should be factored in the differential diagnosis of any child with chronic cough. Delay in diagnosis increases chances of complication such as chronic lung diseases and gastro-esophageal reflux, later in adulthood.