Congenital Diaphragmatic Hernia: A Benin Teaching Hospital Experience

作     者：L. Bagnan-Tossa S. B. Noukpozounkou S. Mewanou A. S. C. R. Houegban H. Koco R. B. Assan M. A. Fiogbe 

作者机构：Clinical University of Pediatric and Medical Genetics CNHU-HKM Cotonou Benin Clinical University of Pediatric Surgery CNHU-HKM Cotonou Benin Clinical University of Anesthesia and Resuscitation CNHU-HKM Cotonou Benin 

出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)

年 卷 期：2018年第8卷第1期

页      面：25-31页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Hernia Diaphragmatic Congenital 

摘      要：Congenital diaphragmatic hernia is the outcome of the abdominal contents in the thorax by a breach caused by a failure to close the pleuroperitoneal canal. It is a rare and serious disease. Our teaching hospital had registered these seven last years five cases of congenital diaphragmatic hernia, operated, but never published. We report the most recent one, a case of a newborn baby seen at the 5th hour of life for respiratory distress. Initial examination revealed: an asymmetric thorax, respiratory distress with 88% oxygen saturation at ambient air, tachycardia and abolition of vesicular murmur in the left lung field. L-abdomen was flat and soft. Thoraco-abdominal radiography revealed a clear left intra-thoracic image with mass effect on the left lung parenchyma. He has benefited from a reduction of the herniated visceras and a successful closing of the breach. The operation had few after-effects after five months follow-up with a very good recovery of the cardio-pulmonary function.