Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2017  |  Volume : 22  |  Issue : 1  |  Page : 53--54

Obstructive jaundice caused by hepatic torsion in an infant with congenital diaphragmatic hernia


Iftikhar Ahmad Jan1, Basmah Al Hamoudi1, Abdulla AlJunaibi2, Abdelmatlub Ben Mussa2 
1 Department of Pediatric Surgery, Zayed Military Hospital, Abu Dhabi, United Arab Emirates
2 Department of Pediatric Medicine, Zayed Military Hospital, Abu Dhabi, United Arab Emirates

Correspondence Address:
Iftikhar Ahmad Jan
Department of Pediatric Surgery, Zayed Military Hospital, Abu Dhabi
United Arab Emirates

Right sided congenital diaphragmatic hernia may cause biliary obstruction. We present a 2 months female infant who had respiratory distress and persistent jaundice since birth. Investigations suggested direct hyperbilirubinemia, right-sided diaphragmatic hernia with liver herniation in the thorax, and intra- and extrahepatic biliary dilatation. Laparotomy showed herniation of liver in the chest with hepatic torsion of about 180΀ causing obstruction of bile ducts. Liver torsion was corrected and liver relocated in the abdomen. An operative cholangiogram confirmed free passage of contrast to the intestine after correction of hepatic torsion. Repair of the diaphragmatic hernia was performed. Only skin closure was performed leaving a ventral hernia to avoid abdominal compartment syndrome. Postoperatively, the baby was kept on ventilator for 2 days and then extubated. She showed rapid recovery and was discharged in a stable condition. The ventral hernia was repaired at the age of 6 months. Her total bilirubin levels dropped gradually from 12.50 mg/dl into its normal values within 3 months.


How to cite this article:
Jan IA, Al Hamoudi B, AlJunaibi A, Mussa AB. Obstructive jaundice caused by hepatic torsion in an infant with congenital diaphragmatic hernia.J Indian Assoc Pediatr Surg 2017;22:53-54


How to cite this URL:
Jan IA, Al Hamoudi B, AlJunaibi A, Mussa AB. Obstructive jaundice caused by hepatic torsion in an infant with congenital diaphragmatic hernia. J Indian Assoc Pediatr Surg [serial online] 2017 [cited 2022 Jan 27 ];22:53-54
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2017;volume=22;issue=1;spage=53;epage=54;aulast=Jan;type=0