J Korean Assoc Pediatr Surg.  2010 Dec;16(2):143-153.

Clinical Study of Congenital Diaphragmatic Diseases in Neonates and Infants

• Kim SH
• Cho YH
• Ryu JH

Abstract

Congenital diaphragmatic disease is one of the common major congenital anomalies, and its mortality remained still high despite recent medical advances. The aim of this study is to examine the clinical characteristics of congenital diaphragmatic diseases. A total of 39 patients with congenital diaphragmatic disease that underwent surgery from January, 1997 to December, 2009 at Pusan National University Hospital were included in this study. Medical records were retrospectively reviewed. The male to female ratio was 30:9. Six out of 39 cases died (NS) before surgery, 17 patients had Bochdalek's hernia (BH), 11 patients hiatus hernia (HH), 4 diaphragmatic eventration (DE), and 1 Morgagni hernia (MH). There were no differences in mean birth weight and mean gestational age. NS (83.3%). BH (35.3%) was diagnosed more frequently than other diseases in the prenatal period. Three patients (17.6%) of BH expired due to pulmonary hypoplasia and 1 patient had co-existing congenital heart disease. BH was diagnosed more frequently in the prenatal stage and had a higher motality rate than other conditions. Therefore, BH needs to be concentrated more than other anomalies.

Keyword

Congenital diaphragmatic disease; Congenital diaphragmatic hernia; Bochdalek's hernia

MeSH Terms

Birth Weight
Diaphragmatic Eventration
Female
Gestational Age
Heart Diseases
Hernia
Hernia, Diaphragmatic
Hernia, Hiatal
Humans
Infant
Infant, Newborn
Male
Medical Records
Retrospective Studies
Hernia, Diaphragmatic