A Challenging Case of Congenital Diaphragmatic Hernia Managed Successfully: A Case Report

Saurabh Jitendra Tiwari, Apoorva Kulkarni, Geeta Kekre, Abhaya Gupta, Shalika Jayaswal, Paras Kothari

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.

Keywords


Congenital diaphragmatic hernia; Gastroesophageal reflux disease; High frequency oscillatory ventilation; Fundoplication; Pulmonary hypertension

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Copyright (c) 2019 saurabh jitendra tiwari, apoorva kulkarni, geeta kekre, abhaya gupta, shalika jayaswal, paras kothari

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