Related Experiment Video

Updated: May 24, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Anesthetic Management of Acquired Diaphragmatic Hernia After Pulmonary Sequestration Repair in a Child: A Case Report

Otávio Henrique Ferreira Faria1, Raphael de Oliveira Rocha, Marina Ayres Delgado

  • 1From the Department of Surgery and Anesthesiology, Faculty of Medicine, Hospital das Clínicas, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.

A&A Practice
|May 22, 2026
PubMed

Insights

Acquired diaphragmatic hernia (ADH) in children is a rare but serious postoperative complication. Anesthetic management focused on lung protection and invasive monitoring, successfully treating a case of early gastric herniation.

Area of Science:

  • Pediatric Anesthesiology
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Acquired diaphragmatic hernia (ADH) is a rare postoperative complication in pediatric patients.
  • Intrathoracic herniation of abdominal organs can lead to acute respiratory and hemodynamic compromise.
  • Early recognition and management are crucial for patient outcomes.

Purpose of the Study:

  • To report the anesthetic management of a pediatric patient with early postoperative acquired diaphragmatic hernia.
  • To highlight the challenges associated with managing acute respiratory distress in this condition.
  • To emphasize the applicability of congenital diaphragmatic hernia management principles to ADH.

Main Methods:

  • Case report of a 17-month-old child with gastric herniation post-pulmonary sequestration resection.
  • Anesthetic management included rapid-sequence induction and invasive monitoring.
  • Lung-protective pressure-controlled ventilation with low tidal volumes was employed.

Main Results:

  • The patient presented with acute respiratory distress, hypoxemia, and mediastinal shift.
  • A 4-cm diaphragmatic defect was surgically repaired.
  • Successful anesthetic management and surgical repair were achieved.

Conclusions:

  • Pediatric acquired diaphragmatic hernia presents significant anesthetic challenges.
  • Principles used in managing congenital diaphragmatic hernia are relevant for ADH.
  • Prompt diagnosis and tailored anesthetic strategies are vital for improving outcomes.

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
Pneumothorax-II01:27

Pneumothorax-II

Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations: