Resumen

FERRO MOREIRA, María Eugenia et al. Intestinal occlusion caused by Bochdalek hernia. Rev Cubana Pediatr [online]. 2013, vol.85, n.4, pp. 529-538. ISSN 0034-7531.

Bochdalek hernia is a congenital defect of the posterolateral region of the diaphragm, usually located on the left side. It appears in one per 2000 to 5000 live births; the diagnosis at birth is relatively easy but after the neonatal period, it can lead to erroneous assessments from the clinical and radiological viewpoints. The late-presenting hernia is not frequent, so we intended to present a case of intestinal occlusion caused by late-presenting diaphragmatic hernia and to make a literature review on this topic. Here is the case of a 5 months-old infant born from a third pregnancy, which was dystotic as a result of pelvic presentation and with oligohydramnios. He had an Apgar score of 9.9 and a history of health problems until his fourth month of life when he began to be fed with goat's milk and it appeared pretty frequent regurgitation. He was diagnosed at 5 months of life with intestinal occlusion due to congenital diaphragmatic hernia. He was operated on, no complications were observed and then he was discharged from the hospital after 7 days and followed-up at outpatient service, with satisfactory recovery. The congenital diaphragmatic hernia that occurs after the neonatal period can be incidentally diagnosed in a radiological study or because of secondary complications when abdominal viscerae passed into the thorax.

Palabras clave : Bochdalek hernia; congenital diaphragmatic hernia; late-presenting congenital diaphragmatic hernia.

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