Author(s)

C. Mboutol-Mandavo^1*, E. Moyen², P. Mawandza³, G. F. Otiobanda³, A. Oko², I. P. L. Ondima¹, M. Elombila³, J.-C. Miéret¹

¹Department of Paediatric Surgery, University Hospital of Brazzaville, Brazzaville, Republic of the Congo.
²Department of Paediatric Reanimation, University Hospital of Brazzaville, Brazzaville, Republic of the Congo.
³Department of Anaesthesiology and Reanimation, University Hospital of Brazzaville, Brazzaville, Republic of the Congo.

Introduction: Congenital diaphragmatic hernia is often detected during the prenatal or neonatal period by severe respiratory symptoms. Late-presenting congenital diaphragmatic hernia is uncommon entity resulting in frequent misdiagnosis and inappropriate treatment. Case Report: We report the case of a left congenital diaphragmatic hernia revealed by an inaugural diabetic ketoacidosis in a 9-year-old girl. She has presented progressive weight loss without loss of appetite associated with polyuro-polydipsia, then epigastric pain with vomiting. Blood glucose was 3.2 g/L, ketonuria and 2+ glycosuria. Despite a well-conducted treatment, there was persistence of dyspnea. Chest X-ray and chest CT-scan confirmed the presence of a left diaphragmatic hernia. Evolution was marked by the death of the child on day 2 post-operative from a multivisceral failure. Conclusion: Clinical and radiological signs of congenital diaphragmatic hernia after the neonatal period may be difficult to interpret and may result in delayed diagnosis, erroneous treatment and potentially fatal outcome.

Inaugural Diabetic Ketoacidosis, Late-Presenting Congenital Diaphrag-matic Hernia, Child

Mboutol-Mandavo, C. , Moyen, E. , Mawandza, P. , Otiobanda, G. , Oko, A. , Ondima, I. , Elombila, M. and Miéret, J. (2019) Congenital Diaphragmatic Hernia Revealed by an Inaugural Diabetic Ketoacidosis in a 9-Year-Old Child. Open Journal of Pediatrics, 9, 296-301. doi: 10.4236/ojped.2019.94028.