Acquired diaphragmatic hernia in a preterm low birth weight neonate.
Acquired diaphragmatic hernia in a preterm low birth weight neonate. Trop Doct. 2019 Jun 18;:49475519856250 Authors: Captain M, Natu S, Parekh A, Naik A, Behera MK Abstract Iatrogenic diaphragmatic hernia is rare in children and we report a preterm low birth weight neonate with a presumably acquired diaphragmatic hernia due to trauma caused by treatment following pneumothorax. PMID: 31208291 [PubMed - as supplied by publisher]
Journal of Laparoendoscopic&Advanced Surgical Techniques, Ahead of Print.
ConclusionA high number of patients present emergently for groin hernia repair at a county hospital in Guatemala compared to developed countries. Our data suggest that emergent hernias are likely the result of patient-related issues rather than health care system limitations.
A first-of-its-kind FDA approval represents a major win for Zimmer Biomet and, most importantly, the field of scoliosis treatment. Called The Tether â Vertebral Body Tethering System, the device is intended to treat growing children and adolescents whose spinal curves are approaching or have reached the range where surgical treatment is an option. It is intended to correct the most common form of scoliosis (idiopathic scoliosis) that has not responded to conservative treatment options, such as external bracing. âThis decision takes an innovative surgical approach, vertebral body tetherin...
Publication date: Available online 15 May 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Yoonyoung Yves Choi, Aoife Bridget Rice, Roy Mark KimbleAbstractThis case presents a child with a late presentation of a congenital diaphragmatic hernia in extremis with features suggestive of tension pneumothorax.
Conclusions: The presence of this congenital malformation should be remembered in every case of ambiguous results of imaging examinations of the chest and with recurrent lesions suggesting pneumonia not responding to antibiotic therapy.
We report the case of a 3-year-old boy who presented with an upper respiratory tract infection and severe dyspnea. A chest X-ray revealed a left-sided tension pneumothorax with mediastinal shift and suspected enterothorax. After thoracic computed tomography (CT) scan, a chest tube was inserted, which drained fluid which had the same consistency and color as the one derived from the nasogastric (NG) tube. The boy underwent diagnostic laparoscopy for suspected bowel perforation, which confirmed a left-sided Bochdalek hernia with herniation of the viscera into the chest. After repositioning of the herniated organs into the ab...
THORAC CARDIOV SURG Reports 2018; 07: e36-e38 DOI: 10.1055/s-0038-1667318In a 28-year-old female, seven recurrent pneumothoraces occurred during a period of 2 years despite multiple thoracic interventions, all on the left thoracic side. Despite profound differential diagnostic analysis, the underlying cause remains unclear. An accumulation of conditions in this patient affecting only the left half of the body is remarkable: sinistral glaucoma as an infant, a sinistral pigmentation disorder, and a sinistral Bochdalek hernia. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of conten...
Conclusion Neonatal thoracoscopic repair of CDH and EA using CO2-pneumothorax leads to severe acidosis. Cerebral rSO2 remained within clinical acceptable limits during intraoperative periods of acidosis. Neurodevelopmental outcome was favorable within the first 24 months. The potential of NIRS to further improve perioperative care and long-term outcome in this specific patient group deserves further investigation. [...] Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents | Abstract | Full text
ConclusionResection of prenatally diagnosed asymptomatic CPAM is associated with a significant risk of complications, which may be life threatening. These data contribute to a balanced discussion of risks and benefits for these children. Pediatr Pulmonol. 2015; 9999:1–6. © 2015 Wiley Periodicals, Inc.
We present a child with tension gastrothorax and a literature review of this phenomenon.Immediate clinical and radiographic evaluation should lead to accurate diagnosis followed by emergency decompression of the stomach before laparotomy with reduction of herniated viscera and repair of the diaphragmatic defect.