A newborn with anterolateral diaphragmatic defect: An unusual anomaly?

Authors

  • A. Mohamed Aljalila Children Specialty Hospital, Dubai UAE
  • Shankar S Aljalila Children Specialty Hospital, Dubai UAE Department of Pediatric Surgery, Aljalila Children Specialty Hospital, Dubai UAE
  • Abid Qazi Aljalila Children Specialty Hospital, Dubai UAE

DOI:

https://doi.org/10.46831/jpas.v1i2.48

Keywords:

Congenital diaphragmatic hernia, Anterolateral defect, Diaphragmatic eventration

Abstract

Background: Anterolateral defect of diaphragm is unusual and has been reported less than 5 times in literature.

Case Presentation: We are reporting a case with typical initial presentation of a congenital diaphragmatic hernia. A chest x-ray raised suspicion of a cystic lesion or diaphragmatic eventration which was excluded by chest ultrasound. At operation he was found to have a localised and large anterolateral defect with a very thick sac which was plicated to bridge the diaphragmatic defect.

Conclusion: A rare variant and should be differentiated from other variants using imaging.

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Author Biographies

A. Mohamed, Aljalila Children Specialty Hospital, Dubai UAE

Specialist Surgeon

Shankar S, Aljalila Children Specialty Hospital, Dubai UAE Department of Pediatric Surgery, Aljalila Children Specialty Hospital, Dubai UAE

Consultant Neonatologist

Abid Qazi, Aljalila Children Specialty Hospital, Dubai UAE

Consultant Pediatric Surgeon

References

Hedrick MH, Estes JM, Sullivan KM, Bealer JF, Kitterman JA, Flake AW, Adzick NS, Harrison MR. Plug the lung until it grows (PLUG): a new method to treat congenital diaphragmatic hernia in utero. J peds surg. 1994 May 1;29(5):612-7.

Tsao K, Lally K. P. Congenital diaphragmatic hernia and Eventration. In: George W. Holcomb III, J. Patrick Murphy, Daniel J Ostlie. Ashcraft's Pediatric Surgery. Elsevier saunders; 6th Edition 2014.pp. 315-316

Steiner Z, Mares AJ. Anterolateral diaphragmatic hernia: is it a Morgagni hernia?. European journal of pediatric surgery. 1993 Apr;3(02):112-4.

Karaca İ, Arıkan A, Erikci V, Etensel B, Temir G, Şencan A, Ural Z, Mutaf O. Congenital eventration of the diaphragm in children: 25 years' experience in three pediatric surgery centres. European journal of pediatric surgery. 2003 Oct;13(05):298-301.

Published

2021-01-21

How to Cite

1.
Mohamed A, S S, Qazi A. A newborn with anterolateral diaphragmatic defect: An unusual anomaly?. J Pediatr Adolesc Surg [Internet]. 2021Jan.21 [cited 2021Oct.28];1(2):114-6. Available from: https://jpedas.org/ojs/index.php/jpedas/article/view/jpas-48
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