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https://doi.org/10.1016/S1875-9572(10)60006-X

has been cited by the following article:

• TITLE: Congenital Diaphragmatic Hernia Revealed by an Inaugural Diabetic Ketoacidosis in a 9-Year-Old Child

  AUTHORS: C. Mboutol-Mandavo, E. Moyen, P. Mawandza, G. F. Otiobanda, A. Oko, I. P. L. Ondima, M. Elombila, J.-C. Miéret

  KEYWORDS: Inaugural Diabetic Ketoacidosis, Late-Presenting Congenital Diaphrag-matic Hernia, Child

  JOURNAL NAME: Open Journal of Pediatrics, Vol.9 No.4, November 20, 2019

  ABSTRACT: Introduction: Congenital diaphragmatic hernia is often detected during the prenatal or neonatal period by severe respiratory symptoms. Late-presenting congenital diaphragmatic hernia is uncommon entity resulting in frequent misdiagnosis and inappropriate treatment. Case Report: We report the case of a left congenital diaphragmatic hernia revealed by an inaugural diabetic ketoacidosis in a 9-year-old girl. She has presented progressive weight loss without loss of appetite associated with polyuro-polydipsia, then epigastric pain with vomiting. Blood glucose was 3.2 g/L, ketonuria and 2+ glycosuria. Despite a well-conducted treatment, there was persistence of dyspnea. Chest X-ray and chest CT-scan confirmed the presence of a left diaphragmatic hernia. Evolution was marked by the death of the child on day 2 post-operative from a multivisceral failure. Conclusion: Clinical and radiological signs of congenital diaphragmatic hernia after the neonatal period may be difficult to interpret and may result in delayed diagnosis, erroneous treatment and potentially fatal outcome.