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Pediatr Emerg Care. 2007 Sep;23(9):653-6.

Late-presenting congenital diaphragmatic hernia mimicking bronchiolitis.

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University of Pennsylvania School of Medicine, Division of Emergency Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.


We report a case of a late-presenting congenital diaphragmatic hernia (CDH) in an otherwise healthy infant initially presenting to the emergency department with wheezing and respiratory distress. Late-presenting CDH can manifest a vast array of clinical symptoms and therefore may frequently masquerade as other more common pediatric entities. Prompt and accurate diagnosis is essential in the management of late-presenting CDH; patients may be critically ill at presentation, and selection of appropriate therapeutic interventions may avoid potentially life-threatening complications. In this case report, we seek to inform emergency physicians about this rare, but serious, disorder.

[Indexed for MEDLINE]

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