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Left congenital diaphragmatic hernia and gastroschisis in a term male infant
Kevin C McGann1, Marjorie J Arca2, Marsha Pulhamus2
1School of Medicine and Dentistry, University of Rochester Medical Center, Rochester, New York, USA.
Insights
This case study highlights the successful surgical management of a newborn with both congenital diaphragmatic hernia (CDH) and gastroschisis. Early intervention and staged repair led to a positive outcome for the infant.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Congenital Malformations
Background:
- Congenital diaphragmatic hernia (CDH) and gastroschisis are severe congenital anomalies requiring prompt surgical intervention.
- Liver-up presentation of CDH indicates significant herniation and potential for increased morbidity.
Abstract:
A term male infant was born to a healthy 24-year-old mother with antenatally diagnosed liver-up, left congenital diaphragmatic hernia (CDH) and gastroschisis. The infant was stabilised in the neonatal intensive care unit and then underwent primary repair of the CDH via left subcostal incision and silo placement for the gastroschisis. Serial silo reductions were started postoperatively and umbilical flap closure for the gastroschisis was performed on day of life 6. The patient was weaned from respiratory support, started on enteral feeds, and discharged home at 1 month of age. He was weaned from supplemental nasogastric feeds by 6 weeks of age and is currently well and thriving at 11 months of age.
