{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T12:51:42Z","timestamp":1770295902504,"version":"3.49.0"},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Some congenital diaphragmatic hernias are diagnosed beyond 1\u00a0month. A late-presenting congenital diaphragmatic hernia shows a variety of clinical manifestations, and the preoperative clinical course is variable. We herein report a pediatric case of late-presenting congenital diaphragmatic hernia diagnosed as acute abdomen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 5-year-old boy was brought to our hospital because of herniation of the intestine into the left thoracic cavity, which was observed on radiography performed for abdominal pain. Enhanced computed tomography showed herniation of the small intestine and colon into the left thoracic cavity. Emergency laparoscopic surgery was performed based on the diagnosis of left diaphragmatic hernia. The entire small intestine and part of the colon herniated from the posterolateral defect of the diaphragm. We were able to retract the herniated intestine back into the abdomen but confirmed that the diaphragmatic defect and closure of the defect seemed to be technically challenging via laparoscopy; therefore, we converted the procedure to open laparotomy. The diaphragmatic defect was directly closed with interrupted sutures, and the thoracic cavity was degassed. Postoperatively, the left lung was found to be poorly expanded, but pulmonary hypoplasia was not evident in this case.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>We herein report a pediatric case of late-presenting congenital diaphragmatic hernia diagnosed as abdominal pain. Late-presenting congenital diaphragmatic hernias present with a wide variety of symptoms; therefore, it is important to be reminded of these conditions and check chest radiographs in children presenting with acute or chronic respiratory or gastrointestinal symptoms of unknown etiology.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01980-0","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T09:03:30Z","timestamp":1722330210000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["A case of late-presenting congenital diaphragmatic hernia diagnosed at 5\u00a0years with acute abdomen"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5080-4846","authenticated-orcid":false,"given":"Ryuta","family":"Masuya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiko","family":"Nakame","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shun","family":"Munakata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinsuke","family":"Takeno","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Nanashima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1250-093X","authenticated-orcid":false,"given":"Satoshi","family":"Ieiri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"1980_CR1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-004-1269-5","author":"M Bag\u0142aj","year":"2004","unstructured":"Bag\u0142aj M. Late-presenting congenital diaphragmatic hernia in children: a clinical spectrum. Pediatr Surg Int. 2004. https:\/\/doi.org\/10.1007\/s00383-004-1269-5.","journal-title":"Pediatr Surg Int"},{"key":"1980_CR2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2005.08.023","author":"The Congenital Diaphragmatic Hernia Study Group","year":"2005","unstructured":"The Congenital Diaphragmatic Hernia Study Group. Late-presenting congenital diaphragmatic hernia. J Pediatr Surg. 2005. https:\/\/doi.org\/10.1016\/j.jpedsurg.2005.08.023.","journal-title":"J Pediatr Surg"},{"key":"1980_CR3","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3468(88)80414-7","author":"L Berman","year":"1988","unstructured":"Berman L, Stringer D, Ein SH, Shandling B. The late-presenting pediatric Bochdalek hernia: a 20-year review. J Pediatr Surg. 1988. https:\/\/doi.org\/10.1016\/s0022-3468(88)80414-7.","journal-title":"J Pediatr Surg"},{"key":"1980_CR4","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-002-0743-1","author":"EA Elhalaby","year":"2002","unstructured":"Elhalaby EA, Abo Sikeena MH. Delayed presentation of congenital diaphragmatic hernia. Pediatr Surg Int. 2002. https:\/\/doi.org\/10.1007\/s00383-002-0743-1.","journal-title":"Pediatr Surg Int"},{"key":"1980_CR5","doi-asserted-by":"publisher","DOI":"10.1007\/bf00256935","author":"R Jeandot","year":"1989","unstructured":"Jeandot R, Lambert B, Brendel AJ, Guyot M, Demarquez JL. Lung ventilation and perfusion scintigraphy in the follow up of repaired congenital diaphragmatic hernia. Eur J Nucl Med. 1989. https:\/\/doi.org\/10.1007\/bf00256935.","journal-title":"Eur J Nucl Med"},{"key":"1980_CR6","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.20466","author":"H Okuyama","year":"2006","unstructured":"Okuyama H, Kubota A, Kawahara H, Oue T, Kitayama Y, Yagi M. Correlation between lung scintigraphy and long-term outcome in survivors of congenital diaphragmatic hernia. Pediatr Pulmonol. 2006. https:\/\/doi.org\/10.1002\/ppul.20466.","journal-title":"Pediatr Pulmonol"},{"key":"1980_CR7","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12956","author":"S Ieiri","year":"2022","unstructured":"Ieiri S, Hino Y. Irie, K, Taguchi, T, Single incision laparoscopic repair for late-onset congenital diaphragmatic hernia using oval-shaped multichannel port device (E\u00b7Z ACCESS oval type)-2 months infantile case of Bochdalek hernia. Asian J Endosc Surg. 2022. https:\/\/doi.org\/10.1111\/ases.12956.","journal-title":"Asian J Endosc Surg"},{"key":"1980_CR8","doi-asserted-by":"publisher","DOI":"10.1111\/ases.13214","author":"M Fukuhara","year":"2023","unstructured":"Fukuhara M, Kaisyakuji Y, Sato T, Izaki T. Thoracoscopic repair for late-presenting congenital diaphragmatic hernia with thoracic kidney in a child. Asian J Endosc Surg. 2023. https:\/\/doi.org\/10.1111\/ases.13214.","journal-title":"Asian J Endosc Surg"},{"key":"1980_CR9","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2019.0162","author":"S Obata","year":"2020","unstructured":"Obata S, Souzaki R, Fukuta A, Esumi G, Nagata K, Matsuura T, Ieiri S, Taguchi T. Which is the better approach for late-presenting congenital diaphragmatic hernia: laparoscopic or thoracoscopic? A single institution\u2019s experience of more than 10 years. J Laparoendosc Adv Surg Tech A. 2020. https:\/\/doi.org\/10.1089\/lap.2019.0162.","journal-title":"J Laparoendosc Adv Surg Tech A"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01980-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01980-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01980-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T09:04:12Z","timestamp":1722330252000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01980-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,30]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1980"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01980-0","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,30]]},"assertion":[{"value":"23 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Informed consent was obtained from the patient\u2019s family for publication of this case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"177"}}