Publication: Diaphragmatic Hernia in a Preterm with Congenital Heart Defects with Successful Outcome: A Case Report
Date
2022
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 565 - 568
Publisher
Nepal Medical Association
Abstract
Abstract
Congenital diaphragmatic hernia is an anatomical defect of the diaphragm that is often associated with serious cardiopulmonary complications. It can also be associated with many other problems like multi systemic anomalies, chromosomal aneuploidy and prematurity. Of these, cardiac defects, liver herniation and prematurity seem to have a pivotal role in affecting the outcomes of repair. We hereby present a preterm newborn with such multiple defects repaired on 15th day of life and post operatively managed in a Neonatal Intensive Care Unit with a successful outcome. The key learning objective for our team in this case was to identify the steps taken that led to a successful management of a low birth weight preemie with multiple defects in a resource limited set up.
Description
Sunil Raja Manandhar
Neonatology Unit, Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Ashish Lal Shrestha
Department of Pediatric and Neonatal Surgery, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Sabina Shrestha
Neonatology Unit, Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Rydam Basnet
Neonatology Unit, Department of Pediatrics, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal
Keywords
Congenital diaphragmatic hernia, Preterm, Surgical repair, Ventricular septal defect
Identifier
https://doi.org/10.31729/jnma.7462