PERINATOLOGIYA I PEDIATRIYA.2015.1(61):95–100;doi10.15574/PP.2015.61.95

Successful staged surgical repair of the right congenital diaphragmatic hernia complicated by barotrauma of hypoplastic lungs and duodenal obstruction in premature neonate

Slepov O. K., Soroka V. P., Ponomarenko O. P., Gladyshko O. P., Migur M. Y., Kurinnyi S. I., Tabachnikova E. E.

SI «Institute of pediatrics, obstetrics and gynecology NAMS of Ukraine», Kyiv, Ukraine

Clinical case of successful surgical treatment of the right congenital diaphragmatic hernia and duodenal obstruction in premature neonate. Pre-op period was complicated by barotrauma of severely hypoplastic lungs and pulmonary hypertension, with restored fetal circulation and right-to-left shunting through patient ductus arteriosus. The consequences of barotrauma were repaired by chest drainage. Patient was stabilized by 22nd day of life (high-frequency oscillatory ventilation, infusion of sympathomimetics, bicarbonates, etc.). Surgical repair of the right congenital diaphragmatic hernia was performed on the 23rd day of life. Duodenal obstruction was diagnosed in the post'op period, and was surgically corrected on the 45th day of life.

Key words: right congenital diaphragmatic hernia, lung hypoplasia, barotrauma, duodenal obstruction, premature neonate.

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