PROGNOSIS OF INFANTS AND CHILDREN WITH DELAYED CONGENITAL DIAPHRAGMATIC HERNIA

K. Mohankumar, Dr. S. Vivek

Abstract


Background: The infants and children with Congenital diaphragmatic hernia (CDH) presenting beyond the neonatal period are classified as delayed congenital diaphragmatic hernia. The prognosis of this subset of patients is reported to be better than the neonatal CDH patients.

Methods: A retrospective review of the medical records between January 2014 and December 2017 of the infants and children admitted with congenital diaphragmatic hernia with delayed presentation beyond the neonatal period at our institution was performed.

Results: A total of 98 patients of CDH were identified and 11 patients presented after the neonatal period. The common presentation was respiratory distress. Three children presented with volvulus of the stomach. There were two deaths (18%) and a total of nine patients (82%) had survived.

Conclusion: The prognosis of the patients with delayed CDH is significantly better than the CDH patients presenting in the neonatal period. Gastric volvulus remains the most dangerous complication.


Keywords


Congenital diaphragmatic hernia, delayed presentation.

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References


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