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An Unusual Delayed Presentation of Congenital Diaphragmatic Hernia

Michael Schiffler, MD; Frederick J. Rescorla, MD; Joseph Fitzgerald, MD; Jay L. Grosfeld, MD

Arch Surg. 1988;123(6):780-781.

Abstract
• Most cases of congenital diaphragmatic hernia present as acute respiratory emergencies in the newborn period. Delayed presentation may be heralded by symptoms referred to the respiratory or gastrointestinal tract. An infant with unrecognized right-sided foramen of Bochdalek hernia presented with obstructive jaundice due to compression of the herniated common bile duct by the rim of the diaphragmatic defect. To our knowledge, this occurrence has not been previously observed in infancy or childhood.

(Arch Surg 1988;123:780-781)

Author Affiliations
From the Departments of Surgery (Drs Schiffler, Rescorla, and Grosfeld) and Pediatrics (Dr Fitzgerald), Indiana University School of Medicine and The James Whitcomb Riley Hospital for Children, Indianapolis.

Footnotes
Accepted for publication July 6, 1987.

Reprint requests to Department of Surgery, The James Whitcomb Riley Hospital for Children, 702 Barnhill Dr (K21), Indianapolis, IN 46223 (Dr Grosfeld).

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