Presentation
Respiratory distress immediately after birth, pulmonary hypertension. Intubated.
Patient Data
Age: 1 day
Gender: Female
From the case:
Congenital diaphragmatic hernia
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Large diaphragmatic hernia with intrathoracic herniation of intestines and part of liver, as demonstrated by intrathoracic position of venous umbilical catheter. Mediastinal shift.
Case Discussion
Large congenital diaphragmatic hernia with intrathoracic position of intestines and liver. Right lung turned out to be hypoplastic.
Operative closure of the diaphragmatic defect. Initially only skin was closed because of a mismatch between abdominal cavity volume and contents, increasing the risk of abdominal compartment syndrome, hence leaving an abdominal wall hernia.
Pulmonary hypertension disappeared. Abdominal wall to be closed later.