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[Bilateral diaphragmatic hernia].

F Rivilla Parra1, J Murcia Zorita, A Torres Nieto

  • 1Departamento de Cirugía Pediátrica, Facultad de Medicina, Universidad Autónoma de Madrid.

Anales Espanoles De Pediatria
|November 1, 1987
PubMed
Summary
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Bilateral diaphragmatic hernia is a rare condition causing severe pulmonary hypoplasia and early death in infants. This study reviews six cases, highlighting associated malformations and poor outcomes.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Congenital Malformations

Context:

  • Review of six bilateral diaphragmatic hernia cases over 20 years (1966-1986) at a single institution.
  • Focus on early-onset symptoms and high mortality rates in affected neonates.
  • Investigation into associated congenital anomalies impacting survival.

Purpose:

  • To describe the clinical presentation and outcomes of bilateral congenital diaphragmatic hernia.
  • To analyze the impact of associated malformations on patient survival.
  • To review obstetrical history and patient evolution in these rare cases.

Summary:

  • Six cases of bilateral diaphragmatic hernia presented with early-onset symptoms.
  • Five patients died shortly after birth due to severe pulmonary hypoplasia and multiple congenital anomalies.

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  • One patient survived for 22 days, underscoring the critical condition.

    • Impact:

    • Highlights the extremely poor prognosis of bilateral diaphragmatic hernia.
    • Emphasizes the critical role of associated anomalies in neonatal outcomes.
    • Informs clinical management and genetic counseling for congenital diaphragmatic hernia.