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Case Reports in Surgery
Volume 2016 (2016), Article ID 7284914, 4 pages
http://dx.doi.org/10.1155/2016/7284914
Case Report

Congenital Diaphragmatic Hernia with Delayed Presentation

1Department of Thoracic Surgery, Zabol University of Medical Sciences, Zabol, Iran
2Student Research Committee, Zabol University of Medical Sciences, Zabol, Iran

Received 24 July 2016; Revised 5 September 2016; Accepted 3 October 2016

Academic Editor: Boris Kirshtein

Copyright © 2016 Alireza Malekzadegan and Alireza Sargazi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Congenital diaphragmatic hernia (CDH) is caused due to abnormal formation of the muscular parts of diaphragm. The incidence of CDH in common births ranges from 1/25000 to 1/30000. Pulmonary hypoplasia and pulmonary hypertension are factors that associate with the increase of mortality and morbidity due to CDH. We presented a 68-year-old Iranian woman with abdominal pain and tenderness in right upper quadrant who was diagnosed as having CDH. The disease was detected using chest X-ray and chest and abdomen sonography and confirmed with chest and abdomen CT scan with and without oral contrast. A defect was revealed in posterolateral right diaphragm with omentum and transverse colon herniated through it. Right posterolateral thoracotomy was performed to cure the disease. CT and CXR were the two useful methods in diagnosis of CDH in this patient, although CDH detection prior to surgery is too challenging because of rare cases and different types of CDH. In order to improve clinical cares in adult CDH patients, investigating more cases and long term follow-up are recommended.