Dual Chest Pathology Presenting with Acute Respiratory Failure: A Case Report and Review of Literature

Dual Chest Pathology Presenting with Acute Respiratory Failure: A Case Report and Review of Literature

Author Info

Corresponding Author
Muhammad Elsayed Abdelhafez Mahmoud
Pediatric Surgery Department, Prince Mohammed bin Abdulaziz Hospital (PMAH), Riyadh, Kingdom of Saudi Arabia

A B S T R A C T

Congenital diaphragmatic hernia (CDH) is an uncommon neonatal pediatric surgical problem. About 5-25% of cases had delayed presentation, making diagnostic challenge and requiring a high index of suspicion. Combination of diaphragmatic hernia and severe pneumonia with rapid deterioration of the case up to respiratory failure is a rare occasion. Herein, we present a case of 2-years-old female referred to our hospital intubated, ventilated due to type 2 respiratory failure resulting from dual chest pathology (severe pneumonia and left sided congenital diaphragmatic hernia). She was admitted at the pediatric intensive care unit (PICU), stabilized then operated for repair of her diaphragmatic hernia. Post-operatively, she remained intubated, ventilated for 7 days then weaned gradually from the ventilator. The cardiorespiratory status has much improved and she started oral feeding by the 8th post-operative day and discharged home in a stable condition.

Article Info

Article Type
Case Report and Review of Literature
Publication history
Received: Tue 04, Feb 2020
Accepted: Thu 20, Feb 2020
Published: Wed 26, Feb 2020
Copyright
© 2019 Muhammad Elsayed Abdelhafez Mahmoud. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.AJSCR.2020.01.09