Journal of Indian Association of Pediatric Surgeons (Jan 2007)

Congenital diaphragmatic hernia with gastric perforation in a newborn female

  • Gowrishankar,
  • Sarda Dinesh,
  • Kothari Paras,
  • Kulkarni Bharati

Journal volume & issue
Vol. 12, no. 2
pp. 94 – 95

Abstract

Read online

Most neonates with congenital diaphragmatic hernia (CDH) present with CDH symptoms within the first 24 h of life. However, the presentation may be delayed in 10-20% of the cases. The presenting symptoms are nonspecific and are usually gastrointestinal in nature. We report a case of a 9 day-old neonate presenting with abdominal distention. The investigation was suggestive of CDH with the possibility of perforation which was confirmed by emergency laparotomy. A review of literature revealed one similar case report. This case highlights the risk of bowel incarceration in delayed cases presenting with gastrointestinal symptoms.

Keywords