Congenital diaphragmatic eventration complicated with neonatal gastric perforation.

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Published Nov 15, 2017
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Vol. 95 No. 2 (2017): Issue Feb 2017

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Nadia kasdallah
Hatem Ben Salem
Hakima Kbaier
Sonia Blibech
Mohamed Douagi

Abstract

Congenital diaphragm eventration is a rare and usually asymptomatic developmental defect. Neonatal gastric perforation is also a rare but lifethreatening
condition. In our knowledge, the association of these two pathologies has been, exceptionally reported. We report a case who
illustrates clinical and radiological features of this possible co-morbidity. A full-term male neonate was born from uneventful pregnancy and
delivery. The antenatal scan was reported as normal. At birth, clinical exam was normal, no special resuscitation was necessary. The newborn
was examined and admitted the 4th day of life for fever, tachypnea, cyanosis, hemodynamic shock and refusing feeds. Clinical examination
suggested peritonitis. Chest radiography and ultrasonography suggested congenital hernia. A laparotomy was performed after a brief
resuscitation and confirmed the presence of diaphragm eventration with gastric perforation. Suturing of gastric perforation with a diaphragmatic
plication was performed with favorable evolution.

Keywords:

Gastric perforation, Congenital diaphragmatic, eventration, neonate

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