Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia
Congenital diaphragmatic hernia (CDH) occurs as 1/3000–1/4000 live births. The main pathology associated with the diaphragmatic defect is pulmonary hypoplasia and hypertension. Occasionally gastrointestinal symptoms may also be present due to obstruction and incarceration of herniated bowel loops. H...
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doaj-bbbc0b61fccd426e835ab5a2e622ead32020-11-24T22:22:37ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662018-09-01364749Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic herniaAlaa Obeida0Nouran Abdelmoemen1Nancy Ibrahim2Sayed Khedr3Aly Shalaby4Pediatric Surgery Department, Cairo University Specialized Pediatric Hospital, Cairo, EgyptPediatric Surgery Department, Cairo University Specialized Pediatric Hospital, Cairo, EgyptPediatric Surgery Department, Cairo University Specialized Pediatric Hospital, Cairo, EgyptPediatric Surgery Department, Cairo University Specialized Pediatric Hospital, Cairo, EgyptCorresponding author.; Pediatric Surgery Department, Cairo University Specialized Pediatric Hospital, Cairo, EgyptCongenital diaphragmatic hernia (CDH) occurs as 1/3000–1/4000 live births. The main pathology associated with the diaphragmatic defect is pulmonary hypoplasia and hypertension. Occasionally gastrointestinal symptoms may also be present due to obstruction and incarceration of herniated bowel loops. Here we present a case of a term male neonate with an antenatal diagnosis of CDH. While on the intensive care unit he developed symptoms of acute bowel obstruction on day 14 of life. An emergency laparotomy was done with a partial gastrectomy for gastric perforation. A concomitant splenectomy was carried out due to an iatrogenic injury. The defect was closed primarily. The patient made a full recovery and was discharged on day 27 post operatively. Keywords: Gastric necrosis, Bowel obstruction, Kasr Al Ainy, Egypthttp://www.sciencedirect.com/science/article/pii/S2213576618301568 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Alaa Obeida Nouran Abdelmoemen Nancy Ibrahim Sayed Khedr Aly Shalaby |
spellingShingle |
Alaa Obeida Nouran Abdelmoemen Nancy Ibrahim Sayed Khedr Aly Shalaby Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia Journal of Pediatric Surgery Case Reports |
author_facet |
Alaa Obeida Nouran Abdelmoemen Nancy Ibrahim Sayed Khedr Aly Shalaby |
author_sort |
Alaa Obeida |
title |
Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia |
title_short |
Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia |
title_full |
Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia |
title_fullStr |
Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia |
title_full_unstemmed |
Neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia |
title_sort |
neonatal gastric perforation secondary to a strangulated congenital diaphragmatic hernia |
publisher |
Elsevier |
series |
Journal of Pediatric Surgery Case Reports |
issn |
2213-5766 |
publishDate |
2018-09-01 |
description |
Congenital diaphragmatic hernia (CDH) occurs as 1/3000–1/4000 live births. The main pathology associated with the diaphragmatic defect is pulmonary hypoplasia and hypertension. Occasionally gastrointestinal symptoms may also be present due to obstruction and incarceration of herniated bowel loops. Here we present a case of a term male neonate with an antenatal diagnosis of CDH. While on the intensive care unit he developed symptoms of acute bowel obstruction on day 14 of life. An emergency laparotomy was done with a partial gastrectomy for gastric perforation. A concomitant splenectomy was carried out due to an iatrogenic injury. The defect was closed primarily. The patient made a full recovery and was discharged on day 27 post operatively. Keywords: Gastric necrosis, Bowel obstruction, Kasr Al Ainy, Egypt |
url |
http://www.sciencedirect.com/science/article/pii/S2213576618301568 |
work_keys_str_mv |
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