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Vol 82, No 10 (2011)
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Successful complex management of a congenital diaphragmatic hernia – a case report

Bożena Kociszewska-Najman, Marcin Rawicz, Bronisława Pietrzak, Iwona Szymusik, Sadeq Yaseen, Bernadetta Olszyńska-Bazała, Agnieszka Biejat, Piotr Węgrzyn, Mirosław Wielgoś
Ginekol Pol 2011;82(10).

open access

Vol 82, No 10 (2011)
ARTICLES

Abstract

Abstract Congenital diaphragmatic hernia is a very serious congenital defect associated with high mortality rate. The syndrome is characterized by migration of abdominal viscera to thoracic cavity, a variable degree of pulmonary hypoplasia associated with pulmonary hypertension caused by alteration of pulmonary vessels diameter, increased muscularisation of pulmonary arteries and decreased compliance of the lungs resulting in increased afterload of the right ventricle, decreased cardiac output and impaired oxygenation. We describe a case of congenital diaphragmatic hernia with migration of the stomach, the small and the large bowels and the left hepatic lobe into the left pleural space, diagnosed by ultrasound in utero at 24 weeks of gestation. The child was initially placed on high-frequency oscillation and nitric oxide and required vigorous inotropic support. The defect was repaired after stabilization of the cardiac output and gas exchange. The patient made successful recovery.

Abstract

Abstract Congenital diaphragmatic hernia is a very serious congenital defect associated with high mortality rate. The syndrome is characterized by migration of abdominal viscera to thoracic cavity, a variable degree of pulmonary hypoplasia associated with pulmonary hypertension caused by alteration of pulmonary vessels diameter, increased muscularisation of pulmonary arteries and decreased compliance of the lungs resulting in increased afterload of the right ventricle, decreased cardiac output and impaired oxygenation. We describe a case of congenital diaphragmatic hernia with migration of the stomach, the small and the large bowels and the left hepatic lobe into the left pleural space, diagnosed by ultrasound in utero at 24 weeks of gestation. The child was initially placed on high-frequency oscillation and nitric oxide and required vigorous inotropic support. The defect was repaired after stabilization of the cardiac output and gas exchange. The patient made successful recovery.

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Keywords

congenital diaphragmatic hernia - CHD, nitric oxide, high frequency oscillation - HFO, pulmonary hypoplasia

About this article
Title

Successful complex management of a congenital diaphragmatic hernia – a case report

Journal

Ginekologia Polska

Issue

Vol 82, No 10 (2011)

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448

Article views/downloads

721

Bibliographic record

Ginekol Pol 2011;82(10).

Keywords

congenital diaphragmatic hernia - CHD
nitric oxide
high frequency oscillation - HFO
pulmonary hypoplasia

Authors

Bożena Kociszewska-Najman
Marcin Rawicz
Bronisława Pietrzak
Iwona Szymusik
Sadeq Yaseen
Bernadetta Olszyńska-Bazała
Agnieszka Biejat
Piotr Węgrzyn
Mirosław Wielgoś

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