Korean J Anesthesiol.  1997 Feb;32(2):306-310. 10.4097/kjae.1997.32.2.306.

Anesthetic Management for Repair of Delayed Presentation of Congenital Diaphragmatic Hernia: A case report

• Yang WC
• Jung BH
• Lee EM
• Chung MH
• Won LS

• KMID: 2240319
• DOI: http://doi.org/10.4097/kjae.1997.32.2.306

Abstract

Congenital diaphragmatic hernia (CDH) associated with pulmonary hypoplasia usually presents in early neonatal life. Despite recent advances in perioperative intensive care and neonatal pharmacology, there is still a 53-62% mortality rate. CDH presenting outside of the neonatal period is called CDH delayed presentation, and it is uncommon and the diagnosis is difficult due to misleading clinical signs and symptoms. The prognosis in delayed presentation is determined by complications as strangulation or incarceration of the herniated bowel or stomach, mediastinal shift. A 3 month-old male infant was visited to pediatric department because of irritability. Breath sound were decreased over the left hemithorax and blood gas examination showed hypoxemia. Plain chest X-rays demonstrated intestinal bowel gas shadow in the left hemithorax and had done revealed CDH. An immediate operation was performed. The post-operative course was uneventful and the postoperative chest X-ray returned to normal. She was discharged on the 8th post-opertive day.

Keyword

Anesthesia neonatal; Surgery thoracic; congenital diaphragmatic hernia

MeSH Terms

Anoxia
Diagnosis
Hernia, Diaphragmatic*
Humans
Infant
Critical Care
Male
Mortality
Pharmacology
Prognosis
Stomach
Thorax