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Congenital right hemidiaphragmatic agenesis

Bilal Mirza1, Zahid Bashir, Afzal Sheikh

  • 1Department of Pediatric Surgery, The Children's Hospital and The Institute of Child Health, Lahore, Pakistan.

Lung India : Official Organ of Indian Chest Society
|February 21, 2012
PubMed

Insights

This case study details the successful surgical repair of congenital diaphragmatic agenesis in an infant. The treatment involved suturing the remaining diaphragm to chest muscles, avoiding prosthetic materials.

Area of Science:

  • Pediatric Surgery
  • Thoracic Surgery
  • Medical Case Reports

Background:

  • Congenital diaphragmatic hernia (CDH) is a birth defect where abdominal organs move into the chest.
  • Severe cases can involve complete diaphragm agenesis, a rare malformation.
  • Infants with CDH often present with respiratory distress.

Purpose of the Study:

  • To report a rare case of right hemidiaphragmatic agenesis.
  • To describe a successful surgical management technique for this condition.
  • To highlight a prosthetic-free approach for diaphragmatic defect repair.

Main Methods:

  • A 45-day-old male infant presented with respiratory symptoms.
  • Diagnostic imaging revealed a right-sided congenital diaphragmatic hernia.
  • Surgical exploration identified agenesis of the right hemidiaphragm.

Main Results:

  • A large defect was found, with absence of the diaphragm anteriorly and laterally.
  • The posterior rim of the diaphragm was successfully sutured to intercostal muscles and ribs.
  • The infant's condition was managed without the need for prosthetic material.

Conclusions:

  • Hemidiaphragmatic agenesis is a severe form of congenital diaphragmatic hernia.
  • Surgical repair by suturing the diaphragm remnant is a viable treatment option.
  • This case demonstrates successful management without prosthetic mesh.

Keywords:
Congenital diaphragmatic herniaProlene meshdiaphragmatic agenesisrepair

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