TY - JOUR
AR - AJSCR-2020-1-109
TI - Dual Chest Pathology Presenting with Acute Respiratory Failure: A Case Report and Review of Literature
AU - Ahmed Nabil, Abdelhadi
AU - Khaled, Zamel Aldaraan
AU - Mohamed, Hany Hassab
AU - Muhammad Elsayed, Abdelhafez Mahmoud
JO - American Journal of Surgical Case Reports
PY - 2020
DA - Wed 26, Feb 2020
SN - 2674-5046
DO - http://dx.doi.org/10.31487/j.AJSCR.2020.01.09
UR - https://www.sciencerepository.org/dual-chest-pathology-presenting-with-acute-respiratory-failure_AJSCR-2020-1-109 
KW - Congenital diaphragmatic hernia, delayed presentation, pneumonia, hernia repair, septic shock, respiratory failure
AB - 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.