Table 1

Clinical characteristics of the patients with late presenting DH

NameAgeClinical presentationL/R DH*Postoperative course
*RDH, right DH; LDH, left DH.
Acute symptoms
1LC2 m12 hours, vomitingLDHSepsis—discharged 2 months postoperatively
2TBC2 m1 day, respiratory distress and bilious vomitingLDHUneventful
3RA4 m2 days, respiratory distressLDHUneventful
4RM5 m1 day, respiratory distressLDHUneventful
5HJ6 m2 days, vomiting, bloody diarrhoeaLDHUneventful
6LR7 m1 day, fever, vomitingLDHUneventful
7AF8 m2 days, vomiting and feverLDHUneventful
8GA10 m5 days of vomiting, abdominal pain, irritability, constipationLDHUneventful
9MK11 m2 days, respiratory distressLDHUneventful
10WZ1.3 y2 days, restlessnessLDHUneventful
11BS2 y2 days, vomitingLDHUneventful
12BK4.5 y12 hours, vomiting, respiratory distress—misdiagnosed as tension pneumothoraxLDHProlonged course—pleuropneumonia, lung abscesses, sepsis
13ZM9.5 y1 day, abdominal pain, bilious vomiting (abdominal infection with pleural effusion 1 month earlier)LDHUneventful. Readmitted with suspected intussusception—resolved
14TG12.5 yAcute chest pain while playing—similar pain 6 weeks earlierLDHPneumothorax—tube insertion; discharged 6 days postoperatively
Chronic symptoms
15HM2 m1 month, intermit tachypnoea, cyanosisLDHEnterobacter sepsis—discharged after 15 days
16GM2 yChronic abdominal pain, constipationLDHUneventful
17FC3 yChronic constipation, abdominal pain, 5 days of vomitingRDHUneventful. Readmitted with suspected bowel obstruction—resolved
18MM10 yChronic abdominal painLDHUneventful
Asymptomatic
19HJN6 mIncidental finding on x ray examinationRDHPneumonia—discharged after 5 days
20DSN2.5 yIncidental finding on x ray examinationLDHUneventful
21AS3 yIncidental finding on x ray examinationRDHUneventful
22KN9.5 yIncidental finding on x ray examinationLDHUneventful. Readmitted with suspected obstruction—resolved