Congenital Sliding Hiatal Hernia in a 5-Week-Old Ex-Preterm Infant With Recurrent Gastroesophageal Reflux Amid the

Chariya Chap1, Vissotsak Bin2, Sakviseth Bin2,3

  • 1Neonatal Ward, National Pediatric Hospital Phnom Penh Cambodia.

Clinical Case Reports
|October 1, 2025
PubMed

Insights

Congenital hiatal hernia may cause respiratory issues in preterm infants, mimicking infections. Early antenatal diagnosis and interventions are crucial for timely management.

Area of Science:

  • Neonatology
  • Pediatric Surgery
  • Gastroenterology

Background:

  • Airborne infections like COVID-19 are common in infants.
  • Respiratory symptoms and reflux can indicate various conditions in preterm infants.

Purpose of the Study:

  • To highlight the importance of considering congenital hiatal hernia in preterm infants with respiratory symptoms and reflux.
  • To emphasize the role of barium swallow in differential diagnosis.
  • To advocate for antenatal diagnosis for timely intervention.

Main Methods:

  • Clinical observation of preterm infants with respiratory symptoms and reflux.
  • Diagnostic imaging, including barium swallow, to rule out other conditions like pneumonia.
  • Review of antenatal diagnostic capabilities.

Main Results:

  • Congenital hiatal hernia can present with symptoms similar to airborne infections.
  • Barium swallow is effective in excluding pneumonia.
  • Antenatal diagnosis facilitates prompt management.

Conclusions:

  • Congenital hiatal hernia is a critical consideration in preterm infants with respiratory distress and reflux.
  • Early detection through antenatal diagnosis improves outcomes.
  • Multidisciplinary diagnostic approaches are essential.

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