AI Article Synopsis
- Surgical repair of congenital diaphragmatic hernia (CDH) can involve either direct suturing or the use of a prosthetic patch, but about 50% of patches may reherniate.
- An 8-year-old girl experienced complications from a CDH repair done at age 1, including dislocation of the prosthetic patch and a fistula in the right lower bronchus.
- Diagnostic imaging revealed signs of hernia relapse, but it was only through fibrobronchoscopy that the connection between the prosthesis and bronchi was accurately identified.
Article Abstract
Surgical repair of congenital diaphragmatic hernia (CDH) can be performed by means of either direct suturing of the diaphragm or positioning of a prosthetic patch. However, half of all prosthetic patches show evidence of reherniation. We describe the case of an 8-year-old girl who presented with prosthesis dislocation and fistulization in the right lower bronchus as a complication of a CDH repair that she underwent when she was 1 year old. Abdominal ultrasound and magnetic resonance imaging suggested a hernia relapse, whereas chest computed tomographic scan failed to identify the diaphragmatic defect. Only fibrobronchoscopy allowed fistulization of the prosthesis into the bronchi to be correctly diagnosed.
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| http://dx.doi.org/10.1016/j.jpedsurg.2005.10.075 | DOI Listing |
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