{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:23:21Z","timestamp":1781079801515,"version":"3.54.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":32,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Congenital diaphragmatic hernias rarely present after 2 months of age and are typically diagnosed in the perinatal period. Moderate to severe diaphragmatic hernias present with respiratory symptoms, while late-onset hernias have a more varied presentation, depending on the age and content of the hernia. Very rarely, such hernias are found on incidental imaging, in which surgical repair is frequently recommended. A young girl with Loeys-Dietz syndrome and prior abdominal surgeries presents with 1-year history of increasingly severe, intermittent, abdominal and left shoulder pain. Prior imaging incidentally revealed a left diaphragmatic hernia with omentum protruding into the thoracic cavity. This was managed expectantly due to her other medical and surgical issues. Serial imaging revealed that the herniated omentum was increasing in size and symptoms began to develop. An uncomplicated primary thoracoscopic repair was performed. We report the first case of a congenital diaphragmatic hernia in a patient with Loeys-Dietz syndrome.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa604","type":"journal-article","created":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T20:19:39Z","timestamp":1609791579000},"source":"Crossref","is-referenced-by-count":6,"title":["Unusual case of delayed congenital diaphragmatic hernia in Loeys-Dietz syndrome: a case report"],"prefix":"10.1093","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8786-6082","authenticated-orcid":false,"given":"Gilberto O","family":"Lobaton","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y Julia","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Jelin","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro V","family":"Garcia","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Johns Hopkins University School of Medicine, Baltimore MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,1,31]]},"reference":[{"key":"2021020403270109800_ref1","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.3349\/ymj.2013.54.5.1143","article-title":"Late-presenting congenital diaphragmatic hernia in children: the experience of single institution in Korea","volume":"54","author":"Kim","year":"2013","journal-title":"Yonsei Med J."},{"key":"2021020403270109800_ref2","doi-asserted-by":"crossref","DOI":"10.1186\/s13017-017-0134-5","article-title":"Emergency surgery due to diaphragmatic hernia: case series and review","volume":"12","author":"Testini","year":"2017","journal-title":"World J Emerg Surg."},{"key":"2021020403270109800_ref3","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1111\/jpc.14768","article-title":"More than just a cough: late presentation of congenital diaphragmatic hernia","volume":"56","author":"Close","year":"2020","journal-title":"J Paediatr Child Health."},{"key":"2021020403270109800_ref4","doi-asserted-by":"crossref","first-page":"245","DOI":"10.5152\/TurkPediatriArs.2018.0039","article-title":"Bochdalek hernias in children with late presentation","volume":"53","author":"Tartar","year":"2018","journal-title":"Turk Pediatr Ars."},{"key":"2021020403270109800_ref5","doi-asserted-by":"crossref","first-page":"480","DOI":"10.1007\/s00383-002-0743-1","article-title":"Delayed presentation of congenital diaphragmatic hernia","volume":"18","author":"Elhalaby","year":"2002","journal-title":"Pediatr Surg Int."},{"key":"2021020403270109800_ref6","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1016\/j.jpedsurg.2005.08.023","article-title":"Late-presenting congenital diaphragmatic hernia","volume":"40","author":"Kitano","year":"2005","journal-title":"J Pediatr Surg."},{"key":"2021020403270109800_ref7","first-page":"28","article-title":"Saini S. imaging of incidental Bochdalek hernia. 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A single Institution\u2019s experience of more than 10 years","volume":"30","author":"Obata","year":"2020","journal-title":"J Laparoendosc Adv Surg Tech."}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/1\/rjaa604\/36185674\/rjaa604.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2021\/1\/rjaa604\/36185674\/rjaa604.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T10:34:55Z","timestamp":1612780495000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa604\/6125984"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa604","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,1]]},"published":{"date-parts":[[2021,1,1]]},"article-number":"rjaa604"}}