A Challenging Case of Congenital Diaphragmatic Hernia Managed Successfully: A Case Report

Authors

  • Saurabh Jitendra Tiwari LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
  • Apoorva Kulkarni LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
  • Geeta Kekre LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
  • Abhaya Gupta LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
  • Shalika Jayaswal LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES
  • Paras Kothari LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES

Keywords:

Congenital diaphragmatic hernia, Gastroesophageal reflux disease, High frequency oscillatory ventilation, Fundoplication, Pulmonary hypertension

Abstract

Despite advances in antenatal diagnosis and perinatal care, mortality rate remains elevated in patients with congenital diaphragmatic hernia (CDH). We report a case of left sided CDH in a term baby with persistent gastroesophageal reflux (GER) after repair, and persistent pulmonary hypertension requiring multiple vasodilators. Baby required high frequency oscillatory ventilation for 6 weeks. After failed medical management, bedside gastrostomy in neonatal intensive care unit was done. Nissen’s fundoplication was done later. After 2.5 months child was discharged asymptomatically.

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Author Biographies

Saurabh Jitendra Tiwari, LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES

department of pediatric surgery

RESIDENT

Apoorva Kulkarni, LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES

senior resident

Geeta Kekre, LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES

assistant orofessor

Abhaya Gupta, LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES

associate professor

Shalika Jayaswal, LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES

professor

Paras Kothari, LOKMANYA TILAK MUNICIPAL MEDICAL COLLEGE AND SION HOSPITAL, MUMBAI MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES

professor and head of department

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Published

2020-05-06

How to Cite

1.
Tiwari SJ, Kulkarni A, Kekre G, Gupta A, Jayaswal S, Kothari P. A Challenging Case of Congenital Diaphragmatic Hernia Managed Successfully: A Case Report. J Neonatal Surg [Internet]. 2020May6 [cited 2021Jul.28];8(4):32. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/357

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