A successful thoracoscopic treatment of bilateral congenital false diaphragmal hernia in a newborn

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Abstract

Introduction. Congenital diaphragmatic hernia (CDH) occurs with frequency of 1:2000 to 1:4000 live births. False CDH are more common. Out of unilateral diaphragm defects, left-sided ones predominate (9–24 times more often depending on hernia type). Bilateral diaphragmatic hernia is an extremely rare malformation which accounts for no more than 1% of all diaphragmatic hernias.

Description of observation. The authors present their own experience in treating a rare clinical case of bilateral false diaphragmatic hernia in a newborn with the left-sided component manifested immediately after the birth and with the right-sided one – in 2 weeks after the correction of the first one, as well as its successful thoracoscopic treatment.

Conclusion. The authors consider that one of the possible reasons for not detecting this pathology at ultrasound examination is translocation of the abdominal organs to the chest (which can occur antenatally, intra- and postnatally).

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About the authors

M. A. Akselrov

Tyumen State Medical University

Email: akselerov@mail.ru
ORCID iD: 0000-0001-6814-8894
SPIN-code: 3127-9804
Россия, 625023 Tyumen

Maxim P. Razin

Kirov State Medical University

Author for correspondence.
Email: mprazin@yandex.ru
ORCID iD: 0000-0003-3561-3256
SPIN-code: 6868-2750

head of department of pediatric surgery, Kirov State Medical University

Россия, 610998 Kirov

T. V. Sergienko

Regional Clinical Hospital No 2, Tyumen

Email: sergienko-tv@mail.ru
ORCID iD: 0000-0003-3338-1260
SPIN-code: 2310-5896
Россия, 625000 Tyumen

D. I. Sudareva

Regional Clinical Hospital No 2, Tyumen

Email: novostruevadaniela@gmail.com
ORCID iD: 0000-0001-5956-0385
Россия, 625000 Tyumen

A. V. Tanzybaev

Regional Clinical Hospital No 2, Tyumen

Email: t.sith@bk.ru
ORCID iD: 0000-0003-1320-2798
Россия, 625000 Tyumen

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Supplementary files

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2. Fig. 1. Plain chest X-ray first hours after the birth (а) and before discharge (б) of girl S.

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3. Fig. 2. Plain chest X-ray (а, б) and CT findings on re-admission (в) of girl S.

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4. Fig. 3. Plain chest X-ray one day after the second surgery (а) and before discharge from the hospital (б) of girl S.

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Copyright (c) 2023 Akselrov M.A., Razin M.P., Sergienko T.V., Sudareva D.I., Tanzybaev A.V.

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