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A case report of a congenital left subcostal hernia in a neonate

Grace A Nicksa1, Erica P Christensen, Terry L Buchmiller

  • 1Department of Surgery, Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA. grace.nicksa@childrens.harvard.edu

Journal of Pediatric Surgery
|July 29, 2009
PubMed

We present an unusual case of a congenital left subcostal hernia in a female born at 39 weeks by caesarean delivery to a 39 year-old gravida(2)para(1-2)abortus(0) mother. The pregnancy was complicated by gestational diabetes, although she had normal prenatal imaging. After an uneventful caesarean delivery, the patient's initial physical examination was normal although subsequently was found to have a left subcostal hernia. During surgical evaluation, a reducible hernia was found along with left renal agenesis and no underlying masses. At 4 weeks of age, the patient's hernia was successfully repaired with no sequela. We present the first reported case of a congenital subcostal hernia, evaluation, and treatment.

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