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Early sepsis, obstructive jaundice and right‐sided diaphragmatic hernia in the newborn
Author(s) -
GarcíaMuñoz F,
Santana C,
Reyes D,
Wiehoff A,
LópezPinto JM,
GarcíaAlix A
Publication year - 2001
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.2001.tb00263.x
Subject(s) - medicine , sepsis , jaundice , diaphragmatic hernia , pleural effusion , cholestasis , surgery , diaphragmatic breathing , mechanical ventilation , effusion , congenital diaphragmatic hernia , hernia , fetus , pregnancy , alternative medicine , pathology , biology , genetics
A male newborn was admitted to our Unit because of early sepsis and shock. He required antimicrobial therapy and mechanical ventilation and initially did well, although he exhibited jaundice and cholestasis. During the second week he deteriorated, with radiological opacification of the right hemithorax and pleural effusion, and did poorly in spite of antibiotical therapy and drainage of the effusion. In the third week, the X‐ray suggested some bowel loops in the right hemithorax. A right‐sided diaphragmatic hernia was confirmed by a CT‐scan, and surgery was performed with good outcome. The association of delayed‐onset right‐sided CDH following early sepsis and obstructive jaundice has not been published before, and illustrates a scarcely known form of presentation of this condition.