Anesthetic Management for Repair of Delayed Presentation of Congenital Diaphragmatic Hernia: A case report.
10.4097/kjae.1997.32.2.306
- Author:
Woo Chang YANG
1
;
Bae Hee JUNG
;
Eun Mi LEE
;
Mi Hwa CHUNG
;
Lim Soo WON
Author Information
1. Department of Anesthesiology, Hallym University, College of Medicine, Korea.
- Publication Type:Case Report
- Keywords:
Anesthesia neonatal;
Surgery thoracic;
congenital diaphragmatic hernia
- MeSH:
Anoxia;
Diagnosis;
Hernia, Diaphragmatic*;
Humans;
Infant;
Critical Care;
Male;
Mortality;
Pharmacology;
Prognosis;
Stomach;
Thorax
- From:Korean Journal of Anesthesiology
1997;32(2):306-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Congenital diaphragmatic hernia (CDH) associated with pulmonary hypoplasia usually presents in early neonatal life. Despite recent advances in perioperative intensive care and neonatal pharmacology, there is still a 53-62% mortality rate. CDH presenting outside of the neonatal period is called CDH delayed presentation, and it is uncommon and the diagnosis is difficult due to misleading clinical signs and symptoms. The prognosis in delayed presentation is determined by complications as strangulation or incarceration of the herniated bowel or stomach, mediastinal shift. A 3 month-old male infant was visited to pediatric department because of irritability. Breath sound were decreased over the left hemithorax and blood gas examination showed hypoxemia. Plain chest X-rays demonstrated intestinal bowel gas shadow in the left hemithorax and had done revealed CDH. An immediate operation was performed. The post-operative course was uneventful and the postoperative chest X-ray returned to normal. She was discharged on the 8th post-opertive day.
