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A late presenting congenital diaphragmatic hernia misdiagnosed as spontaneous pneumothorax.

Juwarkar CS, Kamble DS, Sawant V - Indian J Anaesth (2010)

Bottom Line: Usually, pleural space is drained urgently when there is respiratory distress and radiological appearance of mediastinal shift.We present a case of a 5-month-old baby, diagnosed as tension pneumothorax and treated with chest drain insertion.CDH was the intraoperative diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesia, Goa Medical College, Goa, India.

ABSTRACT
Congenital diaphragmatic hernia (CDH) is described as (1) failure of diaphragmatic closure at development, (2) presence of herniated abdominal contents into chest and (3) pulmonary hypoplasia. Usually, pleural space is drained urgently when there is respiratory distress and radiological appearance of mediastinal shift. We present a case of a 5-month-old baby, diagnosed as tension pneumothorax and treated with chest drain insertion. CDH was the intraoperative diagnosis.

No MeSH data available.


Related in: MedlinePlus

Intraoperative view showing diaphragmatic defect
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Figure 0003: Intraoperative view showing diaphragmatic defect

Mentions: The baby was placed in a right lateral position for a left thoracotomy incision. Surprisingly, bowel loops popped out of left thoracotomy incision, pointing to a diagnosis of CDH. The baby was immediately made supine to proceed for laparotomy [Figure 3]. Neuromuscular blockade was then achieved with i.v. pancuronium 0.7 mg and the ventilation controlled. On withdrawing the bowel loops from thoracic cavity, both oxygen saturation and air entry improved remarkably. Analgesia was provided with i.v. pethidine 3.5 mg.


A late presenting congenital diaphragmatic hernia misdiagnosed as spontaneous pneumothorax.

Juwarkar CS, Kamble DS, Sawant V - Indian J Anaesth (2010)

Intraoperative view showing diaphragmatic defect
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2991659&req=5

Figure 0003: Intraoperative view showing diaphragmatic defect
Mentions: The baby was placed in a right lateral position for a left thoracotomy incision. Surprisingly, bowel loops popped out of left thoracotomy incision, pointing to a diagnosis of CDH. The baby was immediately made supine to proceed for laparotomy [Figure 3]. Neuromuscular blockade was then achieved with i.v. pancuronium 0.7 mg and the ventilation controlled. On withdrawing the bowel loops from thoracic cavity, both oxygen saturation and air entry improved remarkably. Analgesia was provided with i.v. pethidine 3.5 mg.

Bottom Line: Usually, pleural space is drained urgently when there is respiratory distress and radiological appearance of mediastinal shift.We present a case of a 5-month-old baby, diagnosed as tension pneumothorax and treated with chest drain insertion.CDH was the intraoperative diagnosis.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesia, Goa Medical College, Goa, India.

ABSTRACT
Congenital diaphragmatic hernia (CDH) is described as (1) failure of diaphragmatic closure at development, (2) presence of herniated abdominal contents into chest and (3) pulmonary hypoplasia. Usually, pleural space is drained urgently when there is respiratory distress and radiological appearance of mediastinal shift. We present a case of a 5-month-old baby, diagnosed as tension pneumothorax and treated with chest drain insertion. CDH was the intraoperative diagnosis.

No MeSH data available.


Related in: MedlinePlus