A Challenging Case of Congenital Diaphragmatic Hernia Managed Successfully: A Case Report
Keywords:Congenital diaphragmatic hernia, Gastroesophageal reﬂux disease, High frequency oscillatory ventilation, Fundoplication, Pulmonary hypertension
AbstractDespite 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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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 2021Apr.14];8(4):32. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/357
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