A A Pract
. 2026 May 22;20(5):e02214.
doi: 10.1213/XAA.0000000000002214. eCollection 2026 May 1. https://pubmed.ncbi.nlm.nih.gov/42172475/
Anesthetic Management of Acquired Diaphragmatic Hernia After Pulmonary Sequestration Repair in a Child: A Case Report and Updated Review
Otávio Henrique Ferreira Faria 1, Raphael de Oliveira Rocha, Marina Ayres Delgado
Affiliations Expand
- PMID: 42172475
- DOI: 10.1213/XAA.0000000000002214
Abstract
Acquired diaphragmatic hernia (ADH) is a rare postoperative complication in pediatric patients and may cause abrupt respiratory and hemodynamic deterioration due to intrathoracic herniation of abdominal organs. We report the anesthetic management of a 17-month-old child who developed early postoperative gastric herniation after thoracoscopic resection of pulmonary sequestration. The patient presented with acute respiratory distress, hypoxemia, and mediastinal shift. Anesthetic management included rapid-sequence induction, invasive arterial monitoring, and lung-protective pressure-controlled ventilation with low tidal volumes. A 4-cm diaphragmatic defect was surgically repaired. This case underscores the anesthetic challenges of pediatric ADH and supports applying principles derived from congenital diaphragmatic hernia management.
Copyright © 2026 International Anesthesia Research Society.
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