Right congenital diaphragmatic hernia: report of a successful case treated by thoracoscopy.

Main Article Content

Luis Alejandro Garcia Rairan
Maria Angelica Gonzalez Cruz
Alejandra Alfonso Diaz
Maria Cristina Angulo
Sebastian Silva
Andres Mauricio Delgado

Abstract

Background: Congenital Diaphragmatic Hernia is a rare anatomical defect of the diaphragm that results from the absence or underdevelopment of part or all of the diaphragmatic dome. This leads to the herniation of abdominal organs into the thoracic cavity, causing serious pulmonary and cardiac complications in newborns.


Case Report: We present the case of a 37-week-old newborn with a prenatal history of congenital heart disease, suspected aortic coarctation, and abnormal middle cerebral artery Doppler. Within minutes of birth, the newborn experienced ventilatory failure, necessitating ventilatory support. Additionally, a chest X-ray revealed abdominal viscera in the right hemithorax, raising suspicion of Right Congenital Diaphragmatic Hernia, which was subsequently confirmed by ultrasound. The newborn underwent thoracoscopy to correct the diaphragmatic defect, achieving complete correction of the hernia without complications and an adequate postoperative recovery. Discharge occurred within a few days of hospitalization.


Conclusion: We recommend early diagnosis and delivery in specialized centers with a higher level of care to increase the chances of survival.

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How to Cite
Garcia Rairan, L. A., Gonzalez Cruz, M. A., Alfonso Diaz, A., Angulo, M. C., Silva, S., & Delgado, A. M. (2023). Right congenital diaphragmatic hernia: report of a successful case treated by thoracoscopy. Pediatría, 56(3), e438. https://doi.org/10.14295/rp.v56i3.438
Section
Case report
Author Biographies

Maria Angelica Gonzalez Cruz, 4. Facultad de Medicina. Universidad El Bosque. Bogotá, Colombia

Medica con participación en la investigación de la industria farmaceutica.

Alejandra Alfonso Diaz, 4. Facultad de Medicina. Universidad El Bosque. Bogotá, Colombia

Médico. Departamento de Urgencias y Hospitalización. Hospital Central de la Policía. Bogotá, Colombia

Maria Cristina Angulo, Pediatra Fundación Santa fe de Bogotá

Pediatra, Miembro institucional Fundación Santa Fe de Bogotá, Profesor clínico Universidad de los Andes

Sebastian Silva, Médico. Departamento de Hospitalización. Clínica Palermo. Bogotá, Colombia.

Médico. Departamento de Hospitalización. Clínica Palermo. Bogotá, Colombia.

Andres Mauricio Delgado, Pediatra. Hospital San Rafael

Pediatra, Hospital Universitario Clínica San Rafael, Profesor clínico Universidad Militar Nueva Granada, Universidad de la Sabana.

References

Losty PD. Congenital diaphragmatic hernia: Where and what is the evidence? Semin Pediatr Surg. 2014 Oct 1;23(5):278–82. DOI: https://doi.org/10.1053/j.sempedsurg.2014.09.008

Kosiński P, Wielgoś M. Congenital diaphragmatic hernia: pathogenesis, prenatal diagnosis and management — literature review. Ginekol Pol. 2017;88(1):24–30. Disponible en: https://journals.viamedica.pl/ginekologia_polska/article/view/GP.a2017.0005/42951 DOI: https://doi.org/10.5603/GP.a2017.0005

Chatterjee D, Ing RJ, Gien J. Update on Congenital Diaphragmatic Hernia. Anesth Analg. 2020 Sep 1;131(3):808–21. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31335403/ DOI: https://doi.org/10.1213/ANE.0000000000004324

Klein J, Sirota M. Congenital Diaphragmatic Hernia. N Engl J Med. 2017 Oct 26;377(17):e25. Disponible en:https://pubmed.ncbi.nlm.nih.gov/29069554/ DOI: https://doi.org/10.1056/NEJMicm1701321

Cordier AG, Russo FM, Deprest J, Benachi A. Prenatal diagnosis, imaging, and prognosis in Congenital Diaphragmatic Hernia. Semin Perinatol. 2020 Feb;44(1). Disponible en:https://pubmed.ncbi.nlm.nih.gov/31439324/ DOI: https://doi.org/10.1053/j.semperi.2019.07.002

Dingeldein M. Congenital Diaphragmatic Hernia: Management & Outcomes. Adv Pediatr. 2018 Aug 1;65(1):241–7. Disponible en:https://pubmed.ncbi.nlm.nih.gov/30053927/ DOI: https://doi.org/10.1016/j.yapd.2018.05.001

McHoney M. Congenital diaphragmatic hernia. Early Hum Dev. 2014 Dec;90(12):941–6. Disponible en:https://pubmed.ncbi.nlm.nih.gov/25448786/ DOI: https://doi.org/10.1016/j.earlhumdev.2014.09.013

Bendixen C, Brosens E, Chung WK. Genetic Diagnostic Strategies and Counseling for Families Affected by Congenital Diaphragmatic Hernia. Eur J Pediatr Surg. 2021 Dec;31(6):472–81. Disponible en:https://pubmed.ncbi.nlm.nih.gov/34911129/ DOI: https://doi.org/10.1055/s-0041-1740337

Mehollin-Ray AR. Congenital diaphragmatic hernia. Pediatr Radiol. 2020 Dec;50(13):1855–71. Disponible en:https://pubmed.ncbi.nlm.nih.gov/33252754/ DOI: https://doi.org/10.1007/s00247-020-04718-w

Victoria T, Danzer E, Scott Adzick N. Use of ultrasound and MRI for evaluation of lung volumes in fetuses with isolated left congenital diaphragmatic hernia. Semin Pediatr Surg. 2013 Feb;22(1):30–6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/23395143/ DOI: https://doi.org/10.1053/j.sempedsurg.2012.10.006

Mondejar Pedro. 18 malformaciones pulmonares - 1. MALFORMACIONES PULMONARES CONGÉNITAS Introducción. Epidemiología - StuDocu. Neumoped. 2017. Disponible en:https://www.studocu.com/pe/document/universidad-san-pedro/embriologia-ii/18-malformaciones-pulmonares/5962010

Ukiyama E. Treatment for congenital diaphragmatic hernia: clinical guidelines. Pediatr Int. 2021 Apr;63(4):369–70. Disponible en:https://pubmed.ncbi.nlm.nih.gov/33881212/ DOI: https://doi.org/10.1111/ped.14552

Lally KP, Lasky RE, Lally PA, Bagolan P, Davis CF, Frenckner BP, et al. Standardized reporting for congenital diaphragmatic hernia – An international consensus. J Pediatr Surg. 2013 Dec 1;48(12):2408–15. DOI: https://doi.org/10.1016/j.jpedsurg.2013.08.014

DDuan M, James TELH, Chandran S. Right-sided congenital diaphragmatic hernia masqueraded as right lobar pneumonia in a term newborn infant. BMJ Case Reports CP. 2021 Nov;14(11):e244975. Disponible en:https://casereports.bmj.com/content/14/11/e244975 DOI: https://doi.org/10.1136/bcr-2021-244975

Robertson DJ, Harmon CM, Goldberg S. Right congenital diaphragmatic hernia associated with fusion of the liver and the lung. J Pediatr Surg. 2006 Jun 1;41(6):e9–10. Disponible en: http://www.jpedsurg.org/article/S0022346806001436/fulltext DOI: https://doi.org/10.1016/j.jpedsurg.2006.02.031

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