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Congenital diaphragmatic hernia in association with congenital short esophagus: A case report
RATIONALE: Congenital diaphragmatic hernia (CDH) associated congenital anomalies are present in about 25%. Congenital short esophagus (CSE) is a relatively rare condition. Both CDH and congenital intrathoracic stomach caused by CSE can be diagnosed in utero. However, CSE can be easily misdiagnosed i...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758132/ https://www.ncbi.nlm.nih.gov/pubmed/29390430 http://dx.doi.org/10.1097/MD.0000000000008996 |
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author | Xia, Bo Hong, Chun Tang, Jing Liu, Cuifen Yu, Gang |
author_facet | Xia, Bo Hong, Chun Tang, Jing Liu, Cuifen Yu, Gang |
author_sort | Xia, Bo |
collection | PubMed |
description | RATIONALE: Congenital diaphragmatic hernia (CDH) associated congenital anomalies are present in about 25%. Congenital short esophagus (CSE) is a relatively rare condition. Both CDH and congenital intrathoracic stomach caused by CSE can be diagnosed in utero. However, CSE can be easily misdiagnosed in utero. PATIENT CONCERNS: We present a case of left CDH with CSE in a female neonate who was diagnosed at 24 weeks gestational age by antenatal ultrasound. DIAGNOSES: The neonate with CDH and congenital intrathoracic stomach due to CSE was confirmed by operation. Gastroesophageal reflux disease (GRED) occurred after operation. INTERVENTIONS: The left diaphragm was repaired, and gastric fixation by gastropexy, gastric folding anti-reflux procedure and operation of longitudinal incision and transverse suture for pyloroplasty procedure was underwent. Gastroesophageal reflux disease (GRED) occurred after operation and jejunal tube feeding was placed. OUTCOMES: This patient is currently alive 12 months post-operation with GRED. LESSONS: To our knowledge, this is the first documented case of this rare type of CDH combined with congenital intrathoracic stomach caused by CSE. This condition could not be surgically repaired due to the extremely short esophagus. Early recognition of intrathoracic stomach associated with CSE is important as it is associated with difficult management and significant postnatal complications. The prognosis is cautiously guarded, and the parents should be appropriately counseled. |
format | Online Article Text |
id | pubmed-5758132 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-57581322018-01-29 Congenital diaphragmatic hernia in association with congenital short esophagus: A case report Xia, Bo Hong, Chun Tang, Jing Liu, Cuifen Yu, Gang Medicine (Baltimore) 6200 RATIONALE: Congenital diaphragmatic hernia (CDH) associated congenital anomalies are present in about 25%. Congenital short esophagus (CSE) is a relatively rare condition. Both CDH and congenital intrathoracic stomach caused by CSE can be diagnosed in utero. However, CSE can be easily misdiagnosed in utero. PATIENT CONCERNS: We present a case of left CDH with CSE in a female neonate who was diagnosed at 24 weeks gestational age by antenatal ultrasound. DIAGNOSES: The neonate with CDH and congenital intrathoracic stomach due to CSE was confirmed by operation. Gastroesophageal reflux disease (GRED) occurred after operation. INTERVENTIONS: The left diaphragm was repaired, and gastric fixation by gastropexy, gastric folding anti-reflux procedure and operation of longitudinal incision and transverse suture for pyloroplasty procedure was underwent. Gastroesophageal reflux disease (GRED) occurred after operation and jejunal tube feeding was placed. OUTCOMES: This patient is currently alive 12 months post-operation with GRED. LESSONS: To our knowledge, this is the first documented case of this rare type of CDH combined with congenital intrathoracic stomach caused by CSE. This condition could not be surgically repaired due to the extremely short esophagus. Early recognition of intrathoracic stomach associated with CSE is important as it is associated with difficult management and significant postnatal complications. The prognosis is cautiously guarded, and the parents should be appropriately counseled. Wolters Kluwer Health 2017-12-22 /pmc/articles/PMC5758132/ /pubmed/29390430 http://dx.doi.org/10.1097/MD.0000000000008996 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. http://creativecommons.org/licenses/by-nc-sa/4.0 |
spellingShingle | 6200 Xia, Bo Hong, Chun Tang, Jing Liu, Cuifen Yu, Gang Congenital diaphragmatic hernia in association with congenital short esophagus: A case report |
title | Congenital diaphragmatic hernia in association with congenital short esophagus: A case report |
title_full | Congenital diaphragmatic hernia in association with congenital short esophagus: A case report |
title_fullStr | Congenital diaphragmatic hernia in association with congenital short esophagus: A case report |
title_full_unstemmed | Congenital diaphragmatic hernia in association with congenital short esophagus: A case report |
title_short | Congenital diaphragmatic hernia in association with congenital short esophagus: A case report |
title_sort | congenital diaphragmatic hernia in association with congenital short esophagus: a case report |
topic | 6200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5758132/ https://www.ncbi.nlm.nih.gov/pubmed/29390430 http://dx.doi.org/10.1097/MD.0000000000008996 |
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