Concurrent left congenital diaphragmatic hernia and esophageal atresia: Case report and review of the literature

Al-Salem, Ahmed H.; Qaisruddin, Syed; Varma, Koyikal K.

doi:10.1016/s0022-3468(97)90032-4

Cited by 6 publications

(5 citation statements)

References 6 publications

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“…The limb reductions previously described have included severe phocomelia with small ossicles and digits articulating with a hypoplastic scapula, hypoplastic humerus and forearm, absent radius and missing digits, and hypoplastic forearm and digits. 5,9,10 In our patient the homolateral limb reduction was essentially complete. Only a malformed scapula was present on the left side.…”

supporting

confidence: 51%

“…These are cleft lip/palate, imperforate anus, esophageal atresia, microphthalmia, holoprosencephaly, nail hypoplasia, and microcephaly. 2,9 The limb reduction noted in our patient is more severe than that noted in many of the other reported patients. The limb reductions previously described have included severe phocomelia with small ossicles and digits articulating with a hypoplastic scapula, hypoplastic humerus and forearm, absent radius and missing digits, and hypoplastic forearm and digits.…”

mentioning

confidence: 42%

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Diaphragmatic Hernia With Homolateral Limb Reduction

Herman

Siegel

2001

J Perinatol

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supporting

confidence: 51%

mentioning

confidence: 42%

Diaphragmatic Hernia With Homolateral Limb Reduction

Herman

Siegel

2001

J Perinatol

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“…The association of EA/TEF with congenital diaphragmatic hernia is very rare and the majority died because of associated severe pulmonary hypoplasia. 17 …”

Section: Discussionmentioning

confidence: 99%

Esophageal atresia with or without tracheoesophageal fistula: success and failure in 94 cases

Al-Salem

Tayeb

Khogair

et al. 2006

Annals of Saudi Medicine

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BACKGROUNDThe management of newborns with esophageal atresia (EA) with or without tracheoesophageal fistula (TEF) has evolved considerably over the years. Currently an overall survival of 85% to 90% has been reported from developed countries. In developing countries, several factors contribute to higher mortality rates. We describe our experience with 94 consecutive cases of EA with or without TEF.PATIENTS AND METHODSWe retrospectively studied 94 patients with EA with or without TEF treated at our hospital over a period of 15 years. Medical records were reviewed for age at diagnosis, sex, birth weight, associated anomalies, aspiration pneumonia, method of diagnosis, treatment, postoperative complications and outcome.RESULTSNinety-four newborns (55 males and 39 females) with EA/TEF were treated at our hospital. Their mean birth weight was 2.2 kg (700 g to 3800 g). Age at diagnosis ranged from birth to 7 days. At the time of admission 37 (39.4%) had aspiration pneumonia. Associated anomalies were seen in 46 (49%) patients. Thirteen patients had major associated anomalies that contributed to mortality. Postoperative complications were similar to those from developed countries but overall operative mortality (30.8%) was high.CONCLUSIONSThe overall mortality was high but excluding major congenital malformations, sepsis was the most frequent cause of death. Factors contributing to mortality included prematurity, delay in diagnosis with an increased incidence of aspiration pneumonia and a shortage of qualified nurses. To improve overall outcome, factors contributing to sepsis should be evaluated and efforts should be made to overcome them.

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“…The surgical approaches depend both on the type of the diaphragmatic hernia and on the presence or absence of TEF. The diaphragmatic defects in these children tend to be large and need to be covered by synthetic material [2,8].…”

Section: Discussionmentioning

confidence: 99%

“…The EA is then approached later [2] (see Table 1). In our case, the early ligation of TEF was done at first with connection of the EA end-to-end through a rightsided thoracotomy and simultaneously with repair of the CDH through a left-sided laparotomy.…”

Section: Discussionmentioning

confidence: 99%