A novel approach for repair of right sided congenital diaphragmatic hernia and hepatopulmonary fusion.

Autor: Cain-Trivette CJ; Department of Surgery, The New York Hospital-Cornell Medical Center, 525 E 68th Street New York, NY 10065, United States., Robinson NB; Department of Surgery, The New York Hospital-Cornell Medical Center, 525 E 68th Street New York, NY 10065, United States., Kadenhe-Chiweshe A; Department of Pediatric Surgery, The New York Hospital-Cornell Medical Center, 525 E 68th Street New York, NY 10065, United States., Steigman S; Department of Pediatric Surgery, Good Samaritan Hospital Medical Center, 1000 Montauk Hwy, West Islip, NY 11795, United States., Spigland NA; Department of Pediatric Surgery, The New York Hospital-Cornell Medical Center, 525 E 68th Street New York, NY 10065, United States.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 Sep 05; Vol. 2024 (9), pp. rjae566. Date of Electronic Publication: 2024 Sep 05 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae566
Abstrakt: Right sided congenital diaphragmatic hernia (CDH) associated with hepatopulmonary fusion (HPF) is a rare congenital anomaly in which the herniated liver is fused with lung parenchyma. We discuss the case of an infant with right-sided CDH and HPF found on index operation for repair of right-sided CDH. Due to the high incidence of vascular anomalies associated with HPF the decision was made to close the patient and get further imaging to characterize the HPF before returning to the operating room for definitive repair. We describe a novel and successful operative approach where the liver was left entirely fused to the lung and the liver was partially brought down from the chest and was plicated to the diaphragm form a seal between the parietal and pleural cavities to repair the CDH.
Competing Interests: None declared.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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