1. A Challenging Case of Congenital Diaphragmatic Hernia Managed Successfully: A Case Report
- Author
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Geeta Kekre, Shalika Jayaswal, Paras L Kothari, Apoorva Kulkarni, Saurabh Tiwari, and Abhaya Gupta
- Subjects
medicine.medical_specialty ,Neonatal intensive care unit ,medicine.medical_treatment ,lcsh:Surgery ,Fundoplication ,Congenital diaphragmatic hernia ,Pulmonary hypertension ,medicine ,In patient ,business.industry ,Mortality rate ,Reflux ,lcsh:RJ1-570 ,lcsh:Pediatrics ,lcsh:RD1-811 ,medicine.disease ,Gastroesophageal reflux disease ,Gastrostomy ,Surgery ,Pediatrics, Perinatology and Child Health ,High frequency oscillatory ventilation ,business - 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.
- Published
- 2020