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Early repair of diaphragmatic hernia to correct associated anomalies
Insights
Diaphragmatic eventration in infants can hide other serious foregut anomalies like esophageal duplication and lung sequestration. Surgical repair is crucial for diagnosing and treating these associated conditions.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Congenital Malformations
Background:
- Eventration of the diaphragm is a rare congenital anomaly where one side of the diaphragm is elevated.
- This condition is often associated with other bronchopulmonary foregut anomalies.
- Diaphragmatic eventration can mask other congenital abnormalities, complicating diagnosis and treatment.
Abstract:
The case of a seven-month-old infant is reported who had an eventration of the left hemidiaphragm associated with two bronchopulmonary foregut anomalies, duplication of the esophagus, and intralobar sequestration of the left upper lobe. The literature indicates that eventration of the diaphragm is associated with pulmonary sequestration in up to 50% of patients. Since the eventration itself obscures roentgenographic evidence of other foregut anomalies, the concomitant diagnosis and treatment of possible foregut anomalies is another justification for surgical repair of eventration of the diaphragm.