Abstract
Congenital chest wall deformities occurred in roughly 1% of children and if asymptomatic are often overlooked and taken lightly. This results in a progressive deformity of the chest and delays in diagnosis of the underlying causes. Complications can also develop from the underlying condition. Chest wall deformities are associated with a number of syndromes and other anomalies including abnormalities of the diaphragm. Congenital Diaphragmatic Hernia (CDH) is one of the underlying causes of chest deformity. Congenital Morgagni Hernia (CMH) is a rare form of CDH and consists of 3-5% in all CDH. Many cases were delayed in diagnosis due to the subtle presentation or were incidental findings. The consequence of delay in diagnosis can lead to the onset of complications which carries morbidities and even mortality. We report a case of a child with missed diagnosis of a rare condition Morgagni Diaphragmatic Hernia presenting with chest deformity.
Highlights
IntroductionCongenital chest wall deformities are anomalies arrhythmias and congenital heart disease [3]
Congenital chest wall deformities are anomalies arrhythmias and congenital heart disease [3].in chest wall growth
We report a case of a 2 years old boy with Morgagni Diaphragmatic Hernia who has chest deformity since birth but was dismissed as self-limiting and only diagnosed incidentally when he presented to the Emergency Department due to a fall
Summary
Congenital chest wall deformities are anomalies arrhythmias and congenital heart disease [3]. We report a case of a 2 years old boy with Morgagni Diaphragmatic Hernia who has chest deformity since birth but was dismissed as self-limiting and only diagnosed incidentally when he presented to the Emergency Department due to a fall. A 2-year-old boy had a fall and was brought to Emergency Department in a private hospital He had extensive bruises over his face and his full blood count shown low platelet count. He was admitted to a private hospital and treated for Idiopathic Thrombocytopaenic Purpura (ITP) He was noted to be having asymmetrical chest deformity where there was a depression at the right lower anterior chest wall. CT scan thorax was done and revealed a right sided CDH (Morgagni hernia) (Figure 3) He was asymptomatic other than the chest deformity (Figure 1). He was referred to pediatric surgical team and was advised for surgery
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