Coexistence of congenital diaphragmatic hernia and abdominal wall closure defect with chromosomal abnormality: two case reports

Journal of Medical Case Reports
Seiichiro InoueMasanori Tamura

Abstract

We reported two rare cases of congenital diaphragmatic hernia with abdominal wall closure defect, which were not associated with septum transversum diaphragmatic defects or Fryns syndrome. Case 1: a Japanese baby boy was delivered at 37 weeks' gestation by urgent cesarean section because of the diagnosis of severe fetal distress. Congenital diaphragmatic hernia with omphalocele was prenatally diagnosed with fetal ultrasound. A ruptured omphalocele was confirmed at delivery. A silo was established on the day of his birth; direct closure of his diaphragmatic defect and abdominal wall closure was performed on the fifth day after his birth. Trisomy 13 was confirmed by genetic examination. His postoperative course was uneventful and he was discharged 5 months postnatally with home oxygen therapy. He was readmitted because of heart failure and died at 6 months. Case 2: a Japanese baby boy, who was prenatally diagnosed with gastroschisis, was delivered at 35 weeks' gestation by urgent cesarean section because of the diagnosis of fetal distress. Silo construction using a wound retractor was performed on the day of his birth and direct abdominal closure was performed on the tenth day after his birth. Trisomy 21 was confirmed by genetic ...Continue Reading

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Citations

Aug 10, 2017·BMJ Case Reports·Yuet Yee CheeMing Sum Rosanna Wong
Aug 11, 2018·Pediatric Surgery International·Victor M Salinas-TorresLaura E Martínez-de-Villarreal
Dec 1, 2019·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·A RavelA Megarbane
Jul 25, 2021·BMJ Case Reports·Kevin C McGannMichael H Livingston

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Methods Mentioned

BETA
cesarean section
X-ray

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