Manandhar, Sunil RajaShrestha, Ashish LalShrestha, SabinaBasnet, Rydam2025-12-152025-12-152022https://hdl.handle.net/20.500.14572/3646Sunil 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, NepalAbstract 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.en-USCongenital diaphragmatic herniaPretermSurgical repairVentricular septal defectOther