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A rare association of congenital diaphragmatic hernia with lower esophageal atresia and perforation.

Are NK, Nagarjuna K, Kannaiyan L - Int J Pediatr (2010)

Bottom Line: Congenital diaphragmatic hernia is known to be associated with esophageal atresia, which is a rare association.We report a rare occurrence of congenital diaphragmatic hernia and lower esophageal atresia.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, Niloufer Hospital for Women and Children, Osmania Medical College, Hyderabad 500 017, India.

ABSTRACT
Congenital diaphragmatic hernia is known to be associated with esophageal atresia, which is a rare association. We report a rare occurrence of congenital diaphragmatic hernia and lower esophageal atresia.

No MeSH data available.


Related in: MedlinePlus

Contrast esophagogram showing holding up (arrow) of contrast at the level of the diaphragm with evidence of CDH with lower esophageal obstruction.
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Related In: Results  -  Collection


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fig1: Contrast esophagogram showing holding up (arrow) of contrast at the level of the diaphragm with evidence of CDH with lower esophageal obstruction.

Mentions: A 10-day male child presented with respiratory distress without cyanosis since birth. On clinical examination, patient had tachypnea, with a scaphoid abdomen. The persistent drooling of saliva led to the suspicion of esophageal atresia. A red rubber catheter was passed into the esophagus, but there was resistance at 15 cm from the alveolar margin. Chest X-ray showed evidence of left CDH with mediastinal shift and the tip of nasogastric tube at the level of the diaphragm. A contrast esophagogram was done which showed holdup of dye at the level of the diaphragm (Figure 1). With the suspicion of associated esophageal obstruction and CDH, a laparotomy was done using a chevron incision. The operative findings include left posterolateral CDH, complete disruption of the esophagogastric junction with a blind-ending esophagus, and a sealed esophageal perforation at the esophagogastric junction (Figure 2).


A rare association of congenital diaphragmatic hernia with lower esophageal atresia and perforation.

Are NK, Nagarjuna K, Kannaiyan L - Int J Pediatr (2010)

Contrast esophagogram showing holding up (arrow) of contrast at the level of the diaphragm with evidence of CDH with lower esophageal obstruction.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2913854&req=5

fig1: Contrast esophagogram showing holding up (arrow) of contrast at the level of the diaphragm with evidence of CDH with lower esophageal obstruction.
Mentions: A 10-day male child presented with respiratory distress without cyanosis since birth. On clinical examination, patient had tachypnea, with a scaphoid abdomen. The persistent drooling of saliva led to the suspicion of esophageal atresia. A red rubber catheter was passed into the esophagus, but there was resistance at 15 cm from the alveolar margin. Chest X-ray showed evidence of left CDH with mediastinal shift and the tip of nasogastric tube at the level of the diaphragm. A contrast esophagogram was done which showed holdup of dye at the level of the diaphragm (Figure 1). With the suspicion of associated esophageal obstruction and CDH, a laparotomy was done using a chevron incision. The operative findings include left posterolateral CDH, complete disruption of the esophagogastric junction with a blind-ending esophagus, and a sealed esophageal perforation at the esophagogastric junction (Figure 2).

Bottom Line: Congenital diaphragmatic hernia is known to be associated with esophageal atresia, which is a rare association.We report a rare occurrence of congenital diaphragmatic hernia and lower esophageal atresia.

View Article: PubMed Central - PubMed

Affiliation: Department of Paediatric Surgery, Niloufer Hospital for Women and Children, Osmania Medical College, Hyderabad 500 017, India.

ABSTRACT
Congenital diaphragmatic hernia is known to be associated with esophageal atresia, which is a rare association. We report a rare occurrence of congenital diaphragmatic hernia and lower esophageal atresia.

No MeSH data available.


Related in: MedlinePlus