Open AccessA Challenging Case of Congenital Diaphragmatic Hernia Managed Successfully: A Case Report
Author(s) -
Saurabh Tiwari,
Apoorva Kulkarni,
Geeta Kekre,
Abhaya Gupta,
Shalika Jayaswal,
Paras Kothari
Publication year - 2020
Publication title -
journal of neonatal surgery
Language(s) - English
Resource type - Journals
ISSN - 2226-0439
DOI - 10.47338/jns.v8.357
Subject(s) - medicine , congenital diaphragmatic hernia , diaphragmatic breathing , reflux , neonatal intensive care unit , diaphragmatic hernia , gastrostomy , persistent pulmonary hypertension , pediatrics , pulmonary hypertension , surgery , hernia , cardiology , disease , pregnancy , fetus , genetics , alternative medicine , pathology , biology
Despite advances in antenatal diagnosis and perinatal care, mortality rate remains elevated in patients with congenital diaphragmatic hernia (CDH). We report a case of left sided CDH in a term baby with persistent gastroesophageal reflux (GER) after repair, and persistent pulmonary hypertension requiring multiple vasodilators. Baby required high frequency oscillatory ventilation for 6 weeks. After failed medical management, bedside gastrostomy in neonatal intensive care unit was done. Nissen’s fundoplication was done later. After 2.5 months child was discharged asymptomatically.