Wednesday, April 2, 2008

Case: Diaphragmatic Hernia


Baby of Fatima, 2 days old male Neonate coming from Patiya , admitted in NICU with the complaint of respiratory distress since birth. The baby delivered at home by normal vaginal delivery at the gestational age of 40 weeks.
The baby was cyanosed, dyspnoic, respiratory rate- 68/m, reflex and tone –normal, length 46cm, OFC-32 cm. Chest was bulged, mediastinum shifted to the right, breath sound absent and bowel sound present in the left. Abdomen is scaphoid in shape and no organomegaly.

CXR shows bowel loops in the left side of the chest and mediastinum shift to the right.

The Baby was diagnosed as a case of Diaphragmatic Hernia.

Thoraco-abdominal laparoscopic approach with laparotomy and laparoscopic repair of the diaphragram and ileal –peritoneal approach repair was done by our Pediatric Surgery Department.

Dr. Badrud Doza
Dr. Rasel
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