A Challenging Case of Congenital Diaphragmatic Hernia Managed Successfully: A Case Report

Abstract

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.

Keywords

• Congenital diaphragmatic hernia
• Gastroesophageal reflux disease
• High frequency oscillatory ventilation
• Fundoplication
• Pulmonary hypertension