Radiol Case Rep. 2020 Jul 3;15(9):1502-1505. doi: 10.1016/j.radcr.2020.06.020. eCollection 2020 Sep. https://pmlegacy.ncbi.nlm.nih.gov/pubmed/32670449

Successful lung response after surgical repair in an infant with right-sided congenital diaphragmatic hernia.

Gasparroni G¹, Perrotta M¹, Chiavaroli V², Petrucci A², Di Credico S², Cicioni P², Mohn A¹, Lisi G³, Lelli Chiesa P³, Di Valerio S².

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Abstract

Congenital diaphragmatic hernia is a rare condition associated with pulmonary complications as the abdominal viscera herniated into the chest may affect lungs development. We present the case of a male newborn baby with a prenatal diagnosis of a posterolateral defect (Bochdalek hernia) involving the right side. The infant underwent surgical repair at 3 days of life, and the post-surgery chest X-ray did not reveal morpho-structural alterations of the lungs and diaphragmatic profile. Our clinical case shows that patients may have a better lung outcome despite an initial unfavorable picture. Prenatal diagnosis is essential in identifying infants with congenital diaphragmatic hernia, especially those cases at higher risk for the worse outcomes, to optimize their clinical and surgical management.

© 2020 The Authors. Published by Elsevier Inc. on behalf of University of Washington.

KEYWORDS:

Bochdalek hernia; Neonatal surgery; Newborn; Respiratory outcomePMID: 32670449 PMCID: PMC7339008 DOI: 10.1016/j.radcr.2020.06.020