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Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia

We report the case of a 14-month-old female who had a right-sided congenital diaphragmatic hernia (CDH) without pulmonary hypoplasia. The patient was preoperatively diagnosed with a Morgagni hernia due to the size and location of the hernia seen on imaging. However, the patient was found to have bil...

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Autores principales: Mahmood, Mehreen, Meckmongkol, Teerin, Westmoreland, Tamarah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546596/
https://www.ncbi.nlm.nih.gov/pubmed/33052295
http://dx.doi.org/10.7759/cureus.10335
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author Mahmood, Mehreen
Meckmongkol, Teerin
Westmoreland, Tamarah
author_facet Mahmood, Mehreen
Meckmongkol, Teerin
Westmoreland, Tamarah
author_sort Mahmood, Mehreen
collection PubMed
description We report the case of a 14-month-old female who had a right-sided congenital diaphragmatic hernia (CDH) without pulmonary hypoplasia. The patient was preoperatively diagnosed with a Morgagni hernia due to the size and location of the hernia seen on imaging. However, the patient was found to have bilateral diaphragmatic defects intraoperatively, and her right diaphragm was almost completely absent. Our patient did not have pulmonary hypoplasia or any of the respiratory comorbidities that CDH patients typically present with, though she did have repeated respiratory infections and cough. This case demonstrates that CDH is not always diagnosed in an accurate or timely manner radiographically and that the surgeon should be prepared to potentially repair more of the diaphragm than expected. Additionally, there is a need to study the pathophysiology and genetics of CDHs further.
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spelling pubmed-75465962020-10-12 Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia Mahmood, Mehreen Meckmongkol, Teerin Westmoreland, Tamarah Cureus Pediatric Surgery We report the case of a 14-month-old female who had a right-sided congenital diaphragmatic hernia (CDH) without pulmonary hypoplasia. The patient was preoperatively diagnosed with a Morgagni hernia due to the size and location of the hernia seen on imaging. However, the patient was found to have bilateral diaphragmatic defects intraoperatively, and her right diaphragm was almost completely absent. Our patient did not have pulmonary hypoplasia or any of the respiratory comorbidities that CDH patients typically present with, though she did have repeated respiratory infections and cough. This case demonstrates that CDH is not always diagnosed in an accurate or timely manner radiographically and that the surgeon should be prepared to potentially repair more of the diaphragm than expected. Additionally, there is a need to study the pathophysiology and genetics of CDHs further. Cureus 2020-09-09 /pmc/articles/PMC7546596/ /pubmed/33052295 http://dx.doi.org/10.7759/cureus.10335 Text en Copyright © 2020, Mahmood et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatric Surgery
Mahmood, Mehreen
Meckmongkol, Teerin
Westmoreland, Tamarah
Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia
title Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia
title_full Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia
title_fullStr Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia
title_full_unstemmed Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia
title_short Laparoscopic Repair of Bilateral Congenital Diaphragmatic Hernia Without Pulmonary Hypoplasia
title_sort laparoscopic repair of bilateral congenital diaphragmatic hernia without pulmonary hypoplasia
topic Pediatric Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546596/
https://www.ncbi.nlm.nih.gov/pubmed/33052295
http://dx.doi.org/10.7759/cureus.10335
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