Central diaphragmatic hernia and congenital short esophagus: Embryology and long-term follow-up

Central diaphragmatic hernia and congenital short esophagus: Embryology and long-term follow-up

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We present a rare case of congenital diaphragmatic hernia (CDH) with intrathoracic stomach pomyslnaszycie.com associated with a congenital short esophagus (CSE) prenatally diagnosed in a male fetus.The unusual hernia appeared right-sided but did not contain liver, instead containing stomach, small and large bowel, and spleen.The infant was delivered preterm at 32 weeks gestation.

At 9 days of age, the spleen, small bowel, and large bowel were reduced into the abdominal cavity.The stomach was only partially reduced because of the CSE.Gastropexy and a gastrostomy were also performed.

The diaphragmatic defect was fixed around the stomach, which later presented problems requiring another surgery.Additional operations: 1.Tracheostomy placed (3 months) 2.

Stomach repositioned more into the abdominal cavity and gastrostomy redone (8 months) 3.Duodenoplasty (postoperative small bowel obstruction) (9 months).Outcome: The patient is currently alive at 11 years old and continues with a gastrostomy tube (g-tube) and tracheostomy dependent.

Lessons: To the best of our knowledge, this patient is the longest surviving patient with CDH and intrathoracic stomach caused by click here CSE.Early diagnosis and continued monitoring remain a key feature to survival.