Congenital Diaphragmatic Hernia: A Benin Teaching Hospital Experience
2018
Congenital diaphragmatic hernia is the outcome of the
abdominal contents in the thorax by a breach caused by a failure to close the
pleuroperitoneal canal. It is a rare and serious disease. Our
teaching hospital had registered these seven last years five cases of
congenital diaphragmatic hernia, operated, but never published. We report the
most recent one, a case of a newborn baby seen at the 5th hour of life for
respiratory distress. Initial examination revealed: an asymmetric thorax,
respiratory distress with 88% oxygen saturation at ambient air, tachycardia and
abolition of vesicular murmur in the left lung field. L-abdomen was flat and
soft. Thoraco-abdominal radiography revealed a clear left intra-thoracic image
with mass effect on the left lung parenchyma. He has benefited from a reduction
of the herniated visceras and a successful closing of the breach. The operation
had few after-effects after five months follow-up with a very good recovery of the
cardio-pulmonary function.
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