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Research:Rare Course of Bilateral Congenital Diaphragmatic Hernia Treated Thoracoscopically-Case Report.

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Research:Rare Course of Bilateral Congenital Diaphragmatic Hernia Treated Thoracoscopically-Case Report.

Front Pediatr. 2020 Apr 29;8:209. doi: 10.3389/fped.2020.00209. eCollection 2020. https://pmlegacy.ncbi.nlm.nih.gov/pubmed/32411638

Rare Course of Bilateral Congenital Diaphragmatic Hernia Treated Thoracoscopically-Case Report.

Toczewski K1Gerus S1Palczewski M1Patkowski D1.

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Abstract

We present a rare case of metachronous bilateral congenital diaphragmatic hernia (CDH) in a newborn with additional malformations: macroglossia, pectus excavatum, and confirmed Simpson-Golabi-Behmel syndrome. We performed a successful thoracoscopic subsequent repair with a patch of the bilateral type C CDH. Despite using insufflation that should cause bilateral pneumothorax at first procedure there was no clinical signs of such a one. Contralateral CDH diagnosis was possible only on the basis of the symptoms that occurred after the first operation. After 13 months the patient is without recurrence. In selected patients, staged thoracoscopy may be a safe and feasible method of bilateral CDH treatment.

Copyright © 2020 Toczewski, Gerus, Palczewski and Patkowski.

KEYWORDS:

Simpson-Golabi-Behmel syndrome; bilateral congenital diaphragmatic hernia; case report; newborn; thoracoscopyPMID: 32411638 PMCID: PMC7200980 DOI: 10.3389/fped.2020.00209Free PMC Article

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