Right posterior diaphragmatic hernia with omphalocele management challenges and benefit of multidisciplinary and multi-inst.pdf

Right posterior congenitaldiaphragmatic hernias (CDH) withliver herniations pose a hugemanagement challenge to thepaediatric surgeons world over. Itsassociation with anterior abdominalwall defects portends a poorerprognosis.We report a case of a day- old malereferred to our centre withbreathlessness, anterior abdominalwall defect and persistent pooroxygen saturation. Clinical andimaging evaluations aided thediagnosis of a right posteriorcongenital diaphragmatic hernia withomphalocele and divarication of recti.Due to dearth of resources, amultidisciplinary team of paediatricsurgeons, cardiothoracic surgeon,paediatricians and an intensivist wereassembled and care was undertakenin two centres to complement inmanpower and facility deficiencies.This in so many ways mitigatedagainst likely managementdifficulties, morbidities and evenmortality. CONCLUSION; Right congenitaldiaphragmatic hernias (CDH) in aresource constrained environmentcan be successfully managed withgood clinical and multicentrecollaborations