Late-presenting congenital diaphragmatic hernia: a rare and challenging diagnosis.

Abstract

We describe two uncommon cases of hiatal hernias in children, including the rare simultaneous presence of a hiatal hernia and a Morgagni hernia.Case 1-An early childhood girl presented to the emergency department with dyspnoea. A chest X-ray suggested a significant diaphragmatic hernia, further characterised by CT, which revealed a complex diaphragmatic defect involving both a hiatal hernia and a Morgagni hernia. The child underwent successful surgical correction with a good outcome.Case 2-A girl in her early childhood presented to the emergency department with a 2-week history of intermittent fever. Imaging studies, including a chest X-ray and CT scan, revealed a large sliding gastric hernia through the oesophageal hiatus. The child underwent surgery, resulting in a favourable outcome.In both cases, the diagnosis was incidental, underscoring the importance of early recognition and a high index of suspicion to ensure optimal outcomes.