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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 1999  |  Volume : 4  |  Issue : 1  |  Page : 34-38

Obstructed diaphragmatic hernia


Department of Pediatric Surgery, KG's Medical College, Lucknow, UP

Correspondence Address:
JD Rawat
Department of Pediatric Surgery, KG's Medical College, Lucknow, UP

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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Two children with congenital diaphragmatic hernia and intestinal obstruction are reported. One was a 10 year old girl with left sided diaphragmatic hernia; a loop of colon was inside the chest cavity and the bowel was obstructed at the diaphragmatic defect. The distended colon could only be reduced after its content was aspirated with a wide bore needle. The other patient was a 12 year old boy with right sided diaphragmatic hernia who presented with intestinal obstruction. The hernia contained gangrenous bowel that required resection with end to end anastomosis. The operation began with thoracotomy but needed extension of the incision to the abdomen for safe reduction and resection of the bowel. Late presentation of congenital diaphragmatic hernia is reported to be 5 to 25 percent and its presentation as intestinal obstruction is reported rarely. Causes of late presentation of congenital diaphragmatic hernia are thought to be either due to late rupture of the small hernial sac that contained the viscera in the abdomen or plugging of the hernial defect by solid viscera prior to the development of hernia due to raised intraabdominal pressure.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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